Maria Alexander

Artificial intelligence has no shortage of potential applications in health care, but deciding where to begin and how to implement it responsibly is another matter. Rob Fields, MD, MHA, Executive Vice President and Chief Clinical Officer at Beth Israel Lahey Health, joins Coral Founder Meg Koepke to discuss how the health system is putting AI into practice. Their conversation explores the organization’s rollout of ambient clinical documentation, the results and responses it has seen so far, and what leaders are learning about selecting use cases, supporting adoption, engaging patients, and managing change. 

This year's proposed physician fee schedule includes a wide range of changes that could affect accountable care organizations, clinicians, and Medicare beneficiaries—from updates to financial methodology and quality measurement to new ideas for prospective payment and specialty care.  

In this episode, Coral's Joy Chen and Maria Alexander speak with Jake Quinton, Chief Medical Officer for the Center for Medicare about which proposals matter most, what they signal about CMS’s longer-term vision for accountable care, and where CMS is seeking practical feedback from organizations working on the ground. 

In this episode of Bright Spots, Coral’s Kate Freeman speaks with Gretchen Heinen, Founder and CEO of Authsnap, about how AI-enabled tools can help reduce the administrative burden of insurance-denial appeals and medical-necessity documentation. The conversation explores how Authsnap supports clinics, hospitals, and health care organizations by streamlining work that has traditionally required hours of manual review, helping providers manage growing volumes of commercial-payer and specialty-drug denials with greater speed and accuracy. Gretchen shares how her experience as a utilization-management nurse shaped the development of Authsnap, what implementation looks like in real-world provider workflows, and what tools like Authsnap could mean for the future of prior authorization, revenue cycle operations, and patient access to care. 

Specialty care has long been one of the harder pieces of accountable care to operationalize. In this episode, Coral’s Joy Chen speaks with Theresa Dreyer, CEO of the Health Care Transformation Task Force, about what CMS’s Long-term Enhanced ACO Design, or LEAD, Model could mean for ACOs and specialty groups. They discuss why specialty engagement has been challenging across payer lines, how LEAD creates more formal pathways for ACO-specialist arrangements, what different types of specialty groups may need to consider, and what it will take for these models to move from payment design to practical changes in care delivery. 

In this episode of Bright Spots, Coral’s Kate Freeman speaks with Beth Blaise, MPA, Director of State Programs at Truentity Health, about how Truentity’s ANCHOR model is working to expand access to care in rural and underserved communities. The conversation explores how community pharmacies, connected health infrastructure, and coordinated care models can help address persistent gaps in chronic disease management and care access across rural areas. Beth shares how the model operates in practice, the challenges of implementing innovative rural health approaches within today’s health care system, and what models like ANCHOR could mean for the future of rural care delivery, workforce sustainability, and community-based health care access. 

As accountable care models continue to evolve, organizations are increasingly being asked to engage specialists in more meaningful and coordinated ways. In this episode, Coral Health Advisor’s Joy Chen sits down with Aisha Pittman, Senior Vice President of Government Affairs at NAACOS; Dr. Erin Hurlburt, Chief Medical Officer of Population Health Services at Lumeris; and Dr. Gene Quinn, Chief Executive Officer of Envoy Integrated Health, to discuss the growing role of specialty care in value-based care and accountable care models. The conversation explores challenges and opportunities related to incentives, care accountability, data sharing, network design, and specialist alignment, along with insights from NAACOS’ new Specialty Engagement in Accountable Care Toolkit.