Health Care Rounds

40 Episodes
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By: John Marchica

Health Care Rounds is a weekly podcast developed for health care leaders who are at the forefront of health care delivery and payment reform. Join Darwin Research Group founder and CEO John Marchica as he discusses the latest advancements in health care business news and policy developments, including interviews with dynamic leaders in health care. John is a veteran health care strategist and is leading ongoing research initiatives on health care delivery systems and value-based care. Health Care Rounds is produced by Kimberly Asciutto and engineered by Andrew Rojec. Theme music by John Marchica. Tags: health care, value-based care, healthcare...

#130: How the Pandemic Has Accelerated the Role of Home Health Care, with Paul VerHoeve
#130
Last Friday at 7:00 AM

Paul VerHoeve is CEO and a board member for Mission Healthcare. With more than 20 years of health care leadership experience, he has been recognized as a driver of healthy workplace culture. Prior to his involvement with Mission Healthcare, Paul was president of the west region with Louisville, Ky.-based Kindred Healthcare, one of the largest post-acute care systems in the country. Before joining Kindred Healthcare, he served in several leadership positions with Gentiva Health Services (now part of Kindred Healthcare), Haven Healthcare, and VITAS Healthcare.  

John Marchica, CEO, Darwin Research Group

John Marchica is a ve...


#129: Successfully Growing an Independent Physician Practice, with Dr. Kyle Guyton
#129
04/02/2021

Dr. Kyle Guyton is a pediatrician, CFO and co-founder of SouthernMED Pediatrics, a multi-site pediatric and counseling practice with 10 locations throughout South Carolina. In addition to caring for his patients, he serves his local community as a member of the Lexington County School District One School Board. Dr. Guyton attended the Medical University of South Carolina, where he earned his medical degree, and furthered his training at the University of South Carolina in pediatric residency. Dr. Guyton has a passion to see that regions with a need for accessible, exceptional pediatric care are provided for. 

 

Jo...


#128: Transforming the Delivery of Care with Dr. Daniel Durand
#128
03/26/2021

Daniel J. Durand, M.D. serves as the chief innovation officer and chairman of radiology for LifeBridge Health. He led the LifeBridge Health ACO, LLC, and previously served as the first director of accountable care for Johns Hopkins Medicine. Prior to Hopkins, Dr. Durand was a vice president and member of the executive leadership team at Evolent Health, a health care IT startup. He also worked as an associate with McKinsey & Co. out of the firm's Washington, D.C., office. Dr. Durand earned his medical degree at The Johns Hopkins University School of Medicine and has more than 20 years...


# 127: Improving the Patient Experience with Compassionate Communication in Medicine with Dr. Anthony Orsini
#127
03/19/2021

Dr. Anthony Orsini is a practicing physician, author and frequent speaker on the topic of compassionate communication in medicine. He is a Level II Medical Director at one of the largest Neonatal Intensive Care Units in the world. He also serves as Chief of Patient Experience and Palliative Care Liaison for his neonatal practice, and is a frequent keynote speaker at various medical and business events, including an upcoming TEDx presentation entitled-Improving Healthcare Starts with a Single Conversation.

In 2011, he founded The Orsini Way, a company that provides communication training to healthcare and business professionals. Dr. Orsini...


Podcast 126: Using Technology to Advance Care for an Aging Population, with Jon Warner
#126
03/12/2021

Jon Warner, CEO and Board Chair Decision-support Architect for Innovation, Technology, DigitalHealth, Aging populations

Five-time company CEO Jon Warner is a widely respected entrepreneurship expert. His career started in the corporate world with Air Products, working in the US and across Europe before joining Exxon-Mobil. At Exxon, Jon worked in the UK, the US, Australia, and Nigeria, ending his career there as deputy CEO. He is the founder of The Worldwide Center for Organizational Development, a management consulting business, and CEO of Silver Moonshots, a research organization and “virtual incubator” for startups focused on health technology and inno...


Podcast 125: Discussing the Past, Present, and Future with Scott Becker
#125
03/05/2021

2:07 - 2:13 Scott: “It was originally sort of a hobby and a marketing effort to develop a brand in health care.” 

16:22 - 16:25 Scott: “So I understood the niche marketing concept, being in a niche within health care.”

19:10 - 19:18 Scott: “It wasn’t until 7-8 years ago when we started, you know, really thinking about this as a serious business, where somebody said, ‘Oh, you’re in business-to-business media.’” 

24:28 - 24:51 John: “I just get the sense that there’s still this antagonistic relationship between pharmacy and Pharma. … Pharma has not been able to demonstrate the value that they bring to the...


#124: Rebuilding Public Trust in Health Care with Kevin Hrusovsky
#124
02/26/2021

Kevin Hrusovsky, Precision Health Visionary, Chairman & CEO, Quanterix

Kevin Hrusovsky is a biotech entrepreneur and healthcare visionary who has dedicated his career to transforming medicine into preventative and personalized healthcare. Hrusovsky currently serves as the President, Chairman and CEO of Quanterix, a company digitizing biomarker analysis to advance Precision Health, and is the founder of Powering Precision Health (PPH). He holds an M.B.A. from Ohio University and a B.S. in Mechanical Engineering from The Ohio State University. He received an Honorary Doctorate from Framingham State University and helped build the competitive strategy curriculum at...


#123: Exploring the Future of Health Care Delivery with Dr. Elliott Fisher
#123
11/13/2020

Elliott S. Fisher, M.D., M.P.H., is director of the Dartmouth Institute for Health Policy & Clinical Practice and Professor of Medicine, Community and Family Medicine and Health Policy at Dartmouth University’s Geisel School of Medicine. As a recognized leading health care researcher and advocate for improving health system performance, Dr. Fisher previously contributed to the concept of the “accountable care organizations” (ACOs) and has influenced research within the development of the Affordable Care Act. His research areas of expertise focus on Medicare, payment reform, and community health with an overall goal to deliver health care value. In his...


#122: Investing in Social Determinants of Health with John Gorman
#122
10/30/2020

John Gorman is the founder and Chairman of Nightingale Partners, the first Opportunity Zone fund to invest in social determinants of health interventions with health insurers, states, and provider organizations. He is the Founder and former Executive Chairman of Gorman Health Group. John’s work focuses on Medicare, Medicaid, and Affordable Care Act strategy, governance, and turnaround of distressed health plans. Prior to founding his firm, John served as Assistant to the Director of Health Care Financing Administration’s (HCFA, now CMS) Office of Managed Care, where he provided day-to-day management and served as the external liaison for the Medi...


#121: Establishing Health Care Quality with Dr. Bill Weeks
#121
10/23/2020

William B. Weeks, MD, PhD, MBA, is a Principal Researcher at Microsoft Healthcare NExT. Dr. Weeks has published a book and over 200 peer-reviewed manuscripts examining economic and business aspects of health care services utilization and delivery, physicians’ return on educational investment, health care delivery science, and healthcare value.  Dr. Weeks has been honored with the 2009 National Rural Health Association Outstanding Researcher Award, the 2016 Jerome F McAndrews award for excellence in research from the National Chiropractic Medical Insurance Corporation Group, and the 2016 Fulbright-Tocqueville Distinguished Chair at Aix-Marseille University.

Dr. Weeks’ research that has been funded by CMMI, NIH, the C...


#120: Integrating Patient-Centered Care with Dan Pelino
#120
10/16/2020

Dan Pelino is an innovator, thought leader and author.  He is a regular contributor to the discussion on healthcare, citizen-based services and Smarter Cities having appeared on CNN, Bloomberg, the BBC and other media outlets. He serves as a moderator and host to the current healthcare debate and is an adjunct professor lecturing on Leadership at Western Kentucky University. He has worked for IBM for 36 years, leading its global Healthcare and Life Sciences Business for 10 years. On behalf of IBM, Dan and Dr. Paul Grundy both accepted the 2012 National Committee for Quality Assurance (NCQA) award for Leadership in Healthcare.


#119: Improving Health Care Affordability Through PBM Optimization with Eric Levin
#119
10/09/2020

Eric Levin is CEO of Scripta Insights. Eric is a seasoned executive and serial entrepreneur who has created and managed products that have sold well in excess of $5 billion. He has been involved in more than 32 mergers and acquisitions and helped to grow several companies from startup through large-scale global success.

 

After beginning his career at a market-leading consumer electronics retailer, Eric joined Kevin O’Leary (of TV’s Shark Tank fame) in the consumer technology business as part of the executive management team responsible for growing The Learning Company from $60m to over $1.2 billion in sa...


#118: The Developing World of Wound Care with John Sory
#118
10/02/2020

John Sory is the President of Vohra Wound Physicians. Sory has been an integral part of Vohra since March 2018 and brings 25 years of extensive expertise in healthcare management.  Today, he is responsible for managing Vohra’s core operations and key strategic initiatives.

Formerly, he served as the Chief Executive, UHealth Regional Alliance for the University of Miami Health System (UHealth) where he oversaw affiliations and expansion, health plan relationships, and new reimbursement models. He also led the organization’s entry into population health and the transformational steps from fee for service to value-based health outcomes. Sory expanded the h...


#117: Breaking Down Health Care with David Contorno
#117
09/25/2020

David Contorno is a nationally recognized thought leader and author on disrupting health care and delivering better care at lower costs for employers and their employees. David spends much of his time educating the industry, including his competition, on how to bring these cost-effective healthcare solutions to the masses. In 2016, Forbes named David as “One of America’s Most Innovative Benefits Leaders.

 

John Marchica is a veteran health care strategist and CEO of Darwin Research Group, a health care market intelligence firm specializing in health care delivery systems. He’s a two-time health care entrepreneur, and his...


#116: A New Age in Health Care with Stewart Gandolf
#116
09/18/2020

Stewart Gandolf, MBA

Stewart Gandolf, is Chief Executive Officer of Healthcare Success, one of the nation’s leading healthcare and digital marketing agencies. Over the past 20 years, Stewart has marketed and consulted for over 1,000 healthcare clients, ranging from practices and hospitals to multi-billion dollar corporations. A frequent speaker, Stewart has shared his expertise at over 200 venues nationwide. As an author and expert resource, Stewart has also written for many leading industry publications, including the 21,000 subscriber Healthcare Success Insight blog. Stewart also co-authored, “Cash-Pay Healthcare: Start, Grow & Perfect Your Cash-Pay Healthcare Business.” Stewart began his career with leading advert...


#115: Dissecting the PBM Model with Karthik Ganesh
#115
09/11/2020

Karthik Ganesh is the CEO at EmpiRx Health, the industry’s only value-based PBM, with a clinically- focused and tech-enabled approach to bending the Rx cost curve. Prior to EmpiRx Health, Karthik was the founding operations leader of CareAllies. Karthik is a senior health care executive with a solid track record of comprehensively scaling, transforming and maximizing value at tech-enabled health service companies while driving dramatic before-and-after results across all facets of the organization. Karthik is recognized as a thought leader on healthcare, leadership, and resilience. He is a published author and has been featured in leading industry journals.

...


#114: Building a Stronger Future for Health Care with Stefan Behrens
#114
09/04/2020

Stefan Behrens the CEO and co-founder of GYANT. GYANT creates digital assistant for healthcare – the software helps triage, navigate, and inform patients along the continuum of care. Prior to GYANT, Stefan has had great success as an entrepreneur. As Co-Founder and COO of Invincible Brands, he oversaw the launch and development of two lifestyle brands (Natural Mojo and Hello Body) in the healthy living space. Stefan also spent a decade in strategy consulting, driving large-scale transformation programs for international telco companies. Stefan guided multiplayer gaming company Aeria Games from humble beginnings to acquisition by ProSiebenSat.1, Europe's leading media company.

...


#113 : A New Perspective in Health Care with Twila Brase
#113
08/28/2020

Twila Brase is President and Co-Founder of Citizens’ Council for Health Freedom (CCHF), a

national patient-centered nonprofit established 25 years ago in Minnesota to support health care choices, individualized patient care and medical and genetic privacy. She is author of the eight-time award-winning book Big Brother in the Exam Room: The Dangerous Truth About Electronic Health Records, which was published in July 2018.

Modern Healthcare named her #75 on their 2009 “100 Most Powerful People in Healthcare”

list. Last year, Twila Brase was selected as one of 18 leaders to participate in the U.S.

Department of Health...


#112: The Growing Role of the Health System Specialty Pharmacy with Ameet Wattamwar, PharmD
#112
08/21/2020

Ameet Wattamwar, PharmD, is the Director of Specialty Pharmacy for the NYU Langone Hospitals System. Prior to this role, he was Vice President of Client Strategies for PHS, AmerisourceBergen’s health system facing consulting arm where he specialized in specialty & ambulatory pharmacy development, 340b optimization, and other pharmacy centric cost savings, and efficiency-focused initiatives. Ameet has also consulted for pharmaceutical manufacturers in addition to practicing pharmacy across various care settings.

 

John Marchica, CEO, Darwin Research Group

John Marchica is a veteran health care strategist and CEO of Darwin Research Group, a health care mar...


#111: Redesigning Value in Health Care with Brian Paradis
#111
08/14/2020

Brian Paradis is a senior partner with CSuite Solutions, a national strategic advisory firm. CSuite Solutions is led by former healthcare industry CEOs focused on the transition and practical strategies to move healthcare industry from “volume to value.”

 

Previously, Paradis was president of Florida Hospital’s Central Region, a $4billion enterprise with over 25,000 employees and 2,000 physicians. Under his leadership, Florida Hospital was the #1 ranked hospital in Florida by the US News and World Report for three years. Paradis’s understanding of the role of immigration in organizational leadership helped develop a creative, results-oriented team based on a shar...


#110: ENCORE LifeBridge Health’s Focus on the Community with Neil Meltzer
#110
08/07/2020

Neil Meltzer, President and CEO of LifeBridge Health since 2013. Meltzer joined Sinai Hospital of Baltimore as Vice President of Operations in 1988, and a decade later became Sinai’s President and Chief Operating Officer.

Meltzer has a background in public health and brings a community-focused approach to every health care decision. He serves on the boards of the Greater Baltimore Committee, Notre Dame of Maryland University, the Maryland Hospital Association, the Hippodrome Foundation and Everyman Theatre. Additionally, Meltzer serves on the advisory board of the University of Maryland School of Public Health. On the national level, he continues to...


#109: ENCORE Breakthroughs in Cancer Research with Dr. David Hong
#109
07/31/2020

Dr. David S. Hong is deputy chair of Investigational Cancer Therapeutics at The University of Texas MD Anderson Cancer Center. He also serves as associate vice president for Clinical Research and clinical medical director of the Clinical Center for Targeted Therapy. Dr. Hong received a bachelor’s degree in biology from Yale University and a medical degree from Albert Einstein College of Medicine. He then completed an internship and residency at Thomas Jefferson University Hospital and a medical oncology fellowship at MD Anderson, during which time he was appointed chief medical oncology fellow. In 2005, he joined MD Anderson’s facu...


#108: ENCORE The Aging Population with Bob Roth
#108
07/24/2020

Bob Roth founded Cypress with his family in 1994 and has been at the helm as Managing Partner since December 2003. Experienced in consumer products, healthcare and software since 1984, Bob is considered an innovator of technologies used to enhance communication and effectively support customers and peers in the health and home care industries.

 

Bob was a finalist for the 2015 Phoenix Business Journal’s prestigious Healthcare Heroes award. In 2013 Cypress was awarded the Better Business Bureau’s Business Ethics Award, the only home care agency to be nominated let along win this coveted award. His community involvement includes hosti...


#107: ENCORE Three Dartmouth Guys Talk Health Care
#107
07/17/2020

David Radley

David Radley is a senior scientist for The Commonwealth Fund’s Tracking Health System Performance program. Dr. Radley and his team develop national, state, and substate regional analyses on health care system performance and related insurance and care system market structure analyses. He is also a senior study director at Westat, a research firm that supports the Scorecard project. He joined the Commonwealth Fund in July 2010 from Abt Associates where he was associate in Domestic Health Policy with responsibility over a number of projects related to measuring long term care quality and evaluation of various He...


#106: ENCORE Behavioral Economics with Dr. Allen Weiss
#106
07/10/2020

Dr. Allen Weiss graduated from Columbia University’s College of Physicians and Surgeons and is board certified in Rheumatology, Internal Medicine, and Geriatrics. He is a Fellow of the American College of Physicians and the American College of Rheumatology.

In 2017, Dr. Weiss became an Assistant Professor of Medicine at the Mayo Clinic School of Medicine and was also elected to the American Hospital Association Board. He’s been named to Becker’s Top 100 Outstanding Physician leaders of healthcare systems several times now.

John Marchica is a veteran health care strategist and COO of Darwin Research Group...


#105: ENCORE Partnering with IDNs and ACOs, with Scott Hylla
#105
06/26/2020

Scott Hylla, Director; Health Systems 

Scott Hylla is the Director of Health Systems for Sunovion Pharmaceuticals Inc. He has served in various roles spanning a 28 year career in the pharmaceutical industry, most recently in leading the Sunovion Health Systems team in the development and execution of collaborative strategies in the transformational IDN marketplace.

Scott has a BS in Biology from St. John’s University and an MBA in Healthcare Management from the Opus College of Business, University of St. Thomas. He is a member of American College of Healthcare Executives and is a corporate participant in...


#104: ENCORE Commonwealth Primary Care ACO with Dr. Curtis Page
#104
06/19/2020

 

Dr. Curtis Page is quite invested in health care reform and currently serves as the CEO & president of the Commonwealth Primary Care Accountable Care Association, an entity that represents over 50 primary care practices in Maricopa County and Flagstaff. The Commonwealth ACO is primarily focused on redesigning the healthcare delivery system to place primary care and their patients at the center of the healthcare paradigm.

Dr. Page went to Harvard Medical School and is double board certified in Family Practice and Addiction Medicine. In 2001, Dr. Page returned to Tempe and joined his father’s practice, then kno...


#103: ENCORE Functional Wellbeing with Sean Sullivan
#103
06/12/2020

Sean Sullivan, JD

Sean Sullivan is the Co-Founder, President and CEO of the Institute for Health and Productivity Management, as well as the WorkPlace Wellness Alliance which was created by the World Economic Forum, now managed and sustained by the Institute. Founded in 1997, the Institute is a global enterprise that serves as a catalyst and champion for a growing international movement to establish health as the new “human capital asset” and source of competitive workforce advantage for the 21st century economy.

Sean speaks regularly at Forums in Europe and the United Kingdom and has held trai...


#102: ENCORE Social Determinants of Health with Dr. Joshua Lenchus
#102
06/05/2020

Joshua Lenchus, DO, RPh, FACP, SFHM

Joshua Lenchus holds a pharmacy degree from the University of Florida, and graduated from Nova Southeastern University College of Osteopathic Medicine in 2000. He currently works as a hospitalist at Jackson Memorial Hospital for the University of Miami Miller School of Medicine.

In 2012, was elected as the youngest and the first osteopathic President of the Jackson Health System medical staff and chairman of its medical executive committee. He was subsequently re-elected in 2014 and 2016. In 2007 he developed a novel curriculum centered about simulation-based invasive bedside procedural instruction. Now in its eleventh...


#101: ENCORE Northwell Health’s Successful Rebranding with Ramon Soto
#101
05/29/2020

About Darwin Research Group   

Darwin Research Group Inc. provides advanced market intelligence and in-depth customer insights to health care executives, with a strategic focus on health care delivery systems and the global shift toward value-based care. Darwin’s client list includes forward-thinking biopharmaceutical and medical device companies, as well as health care providers, private equity, and venture capital firms. The company was founded in 2010 as Darwin Advisory Partners, LLC and is headquartered in Scottsdale, Ariz. with a satellite office in Princeton, N.J.


#100: A Recap of Our Last 3 Seasons
#100
05/08/2020

This week on Health Care Rounds, as we wrap up our third season, we are celebrating our 100th episode! Tune in as John and podcast producer Kim Ascuitto share highlights from some of our best episodes, covering topics like Big Pharma, our aging population, care management, value-based care, and the changing health care delivery environment.

In this episode, we include clips from the following guests:

Ramon Soto, Chief Marketing and Communications Officer, Northwell HealthDr. Curtis Page, CEO, Commonwealth Primary Care ACOScott Hylla, Director, Health Systems - Market Access, Sunovion PharmaceuticalsA.J. Loicano, CEO, Capital RxDr. David...


#99: Closing Gaps in Health Care with Debbie Welle-Powell
#99
05/01/2020

This week, John speaks with Debbie Welle-Powell, Chief Population Health Officer with Essentia Health. They discuss what it means to be a value-based organization and what services bring value to patients. They also identify opportunities for bending the cost curve for future value-based contracts and recognizing the need for coordinated care. Debbie shares some of her experiences in managing provider value to patients as well as maintaining patient engagement. She also touches on the positive impacts of telehealth during a global pandemic. 


#98: Simplifying Value-Based Care with Kyle Swarts and Dr. Matt Lambert
#98
04/24/2020

Today on Health Care Rounds, John speaks with Kyle Swarts and Dr. Matt Lambert. They discuss their journey to simplify value-based care with Curation Health, an advanced clinical decision support platform serving the health care community in improving overall performance. In this episode, Swarts and Dr. Lambert emphasize their aim to navigate a strategy to close care gaps between providers and patients while maintaining overall satisfaction. They also discuss the high demand of value-based care in the industry as well as some major shifts happening in health care in the wake of the Covid-19 pandemic.


#97: Women Transforming Health Care with Rosemarie Day
#97
04/17/2020

Today on Health Care Rounds, John sits down with Rosemarie Day, founder and CEO of Day Health Strategies. Rosemarie talks about her passion for health care reform and introduces her new book, Marching Toward Coverage: How Women Can Lead the Fight for Universal Healthcare. Rosemarie emphasizes the power that women bring to the health care reform movement and why women need to be at the forefront of change.


#96: Shaping Payment Reform in Health Care with Suzanne Delbanco
#96
04/10/2020

This week, Health Care Rounds welcomes Suzanne Delbanco, executive director of Catalyst for Payment Reform. Suzanne shares her experiences in improving the health care system and gives an outlook on payment reform and thought leadership. In this episode, Suzanne notes that employers and other health  care purchasers focus on the importance of integrated care, overall value, and the main cost drivers in health care. Suzanne reveals the relevance in addressing social determinants of health and seeks a solution on how to make drugs both available and affordable for patients.


#95: Recognizing True Value in Health Care with Gail Zahtz
#95
04/03/2020

This week, John speaks with Gail Zahtz about the intersection of system’s design and value in healthcare. They discuss what health systems can learn from Covid-19, the true meaning of value, and what it takes to achieve better patient outcomes. At Centers Healthcare — one of the largest post-acute providers in New York — Zahtz leads their efforts to improve care by executing better designed solutions. Zahtz shares her positive outlook on how our health care professionals are responding to the recent COVID-19 pandemic and recognizes their dedicated, hard work during this time. Zahtz also talks about her personal experiences in hea...


#94: Using AI to Improve Clinical Outcomes with Stefan Behrens, PhD
#94
03/27/2020

This week, John sits down with Stefan Behrens, PhD, co-founder and CEO of GYANT, an artificial intelligence (AI) driven chat tool to help steer patients to the appropriate site of care. Stefan talks about how AI can improve clinical outcomes, and can help health systems and payers lower costs. Most recently, the GYANT architecture is helping triage patients suspected of contracting COVID-19 at some of the nation’s prominent health systems, including Intermountain.


#93: A True Outlook on American Health Insurance with Christopher Robertson
#93
03/20/2020

Today on Health Care Rounds, we welcome Christopher Robertson, Associate Dean for Research and Innovation and Professor of Law at the University of Arizona. With his diverse background in law and economics, Chris offers a unique and thoughtful perspective on the American health care system. In this episode, he offers unique insights about the unwarranted effects of co-pays and co-insurance on health care utilization and quality of care. John and Chris also discuss COVID-19 and the economic impact of the coronavirus pandemic here and abroad. Chris is the author of Exposed: Why Our Health Insurance is Incomplete and What...


#92: A Reliable Home Health Care with Assaf Shalvi
#92
03/13/2020

This week, John speaks with Assaf Shalvi, CEO and co-founder of Swift Shift. In creation of his business, Shalvi focuses on the demand for efficiency in home health care. He strives to improve the management and quality of the industry through partnerships of Homecare providers and Health Plans. This episode recognizes the common barriers of low caregiver presence in home health care while uncovering the arising opportunities in recreating a more reliable one. Shalvi talks about the efforts Swift Shift makes toward employee experience and driving success with data and analytic approaches.

 


#91: What it’s Like to be an American Physician Practicing in Canada, with Dr. Peter Cram
#91
03/06/2020

In this week’s Health Care Rounds, John sits down with Dr. Peter Cram, Director of General Internal Medicine and Geriatrics at Sinai Health System in Toronto. John and Peter discuss the similarities and differences between the U.S and Canada in health care delivery. Having trained and practiced in both the U.S. and Canada — and as a leading health care services researcher — Dr. Cram offers key insights and lessons about health care delivery and payment reform that health care leaders on both sides of the border will appreciate.