In this episode of "Pemba On Demand," host Dr. Norman A. Chapin interviews Martie Ross, Consulting Principal at PYA and Director of the Center for Rural Health Advancement. Together, they explore the evolution and challenges of alternative payment models (APMs) in healthcare, focusing on rural settings, value-based care, and the need for payer alignment. Martie shares insights on adapting APMs for rural providers, the importance of clinical transformation, and the future of mandatory payment models. The episode concludes with practical resources for healthcare professionals navigating payment reform and emphasizes the ongoing need for collaboration and innovation in healthcare delivery.

• Evolution of alternative payment models (APMs) in healthcare
• Impact of APMs on rural and safety-net providers
• Challenges and opportunities in implementing APMs in rural healthcare settings
• The role of the Affordable Care Act (ACA) in transforming healthcare payment structures
• Differences between primary care and specialty care in APM development
• Importance of collaboration among healthcare providers for effective patient care
• The significance of accurate data and benchmarks in evaluating APM effectiveness
• Barriers to commercial payer engagement in APMs
• Future directions for APMs, including mandatory episodic payment models
• Strategies for physician executives to navigate the transition to value-based care

• Dr. Norman A. Chapin on LinkedIn

• PEMBA On Demand Podcast on Apple

• Martie Ross on LinkedIn

In this episode of "Pemba On Demand," host Dr. Norman A. Chapin interviews Angie Caldwell, CPA and MBA, a leading expert in physician compensation design. Together, they explore the complexities of fair market value, the impact of technology and AI on physician work, and the challenges of creating sustainable, effective compensation models. Angie shares insights on pitfalls in plan design, the importance of stakeholder engagement, and adapting to evolving healthcare trends. The discussion emphasizes the need for thoughtful, transparent compensation strategies that align with both organizational goals and physician well-being.

• Physician compensation strategies and their complexities
• Fair market value (FMV) in compensation design
• Financial sustainability challenges in healthcare organizations
• Supply and demand issues for physicians in the healthcare market
• Impact of technology and artificial intelligence (AI) on physician work and compensation
• Common pitfalls in compensation plan design
• Importance of regulatory compliance in compensation models
• Trends in value-based care and upcoming payment model changes
• The role of advanced practice providers (APPs) in compensation considerations
• The significance of stakeholder engagement in designing effective compensation plans

• Angie Caldwell on LinkedIn

• Dr. Norman A. Chapin on LinkedIn

• PEMBA On Demand Podcast on Apple

• Washington Updates – June 13, 2025 (PYA)

In this episode of PEMBA On Demand, host Dr. Norman A. Chapin speaks with Dr. Robert Flora, Chief Academic Officer at McLaren Health Care and Professor of Obstetrics & Gynecology at Michigan State University College of Human Medicine. Together, they explore why traditional quality improvement (QI) strategies often fall short—and what it will take to lead meaningful change in modern healthcare.

Dr. Flora highlights the historical and systemic roots of today’s QI limitations, explains how rigid approaches fail to reflect the complexity of patient care, and introduces innovative frameworks like his “Nested Rapid Cycle Logic Model.” This episode empowers physician leaders with tools and insights for driving real, measurable change.

• Why standard QI approaches are no longer sufficient

• Moving from binary to systems-level thinking in clinical training

• Integrating social and structural determinants of health into care models

• Embracing data-driven, team-based strategies in leadership

• The role of QI training in preparing the next generation of physician leaders

• Recognizing external influences on healthcare quality and patient outcomes

• Long-term outcomes vs. short-term metrics: what really matters

• A hopeful vision for the future of quality improvement in healthcare

• Dr. Robert Flora on LinkedIn

• Dr. Norman A. Chapin on LinkedIn

• PEMBA On Demand Podcast on Apple