Healthcare, Patient-Centered Care, Healthcare Leadership, Roy Bejarano, Healthcare Innovations, Value-Based Care, Musculoskeletal Health, Risk-Based Models, Medicare Advantage, Care Coordination, Population Health, Digital Health, TailorCare, Healthcare Economics, Rachel Winokur

Roy Bejarano sits down with Rachel Winokur, CEO and Founder of TailorCare, to discuss how her risk-based musculoskeletal care model is reshaping patient-centered care. With a background in healthcare investment, payer strategy, and care delivery, Rachel shares her journey from Aetna and Bright Health to launching TailorCare, a company dedicated to optimizing MSK treatment pathways for better patient outcomes and lower costs.

This conversation dives into how care coordination, data-driven decision-making, and provider-patient engagement are essential for success in risk-based healthcare. Rachel also highlights the limitations of existing value-based models, the role of predictive analytics, and the future of innovative therapies like GLP-1s and stem cells.

• [00:01] Introduction to Rachel Winokur and her career spanning Aetna, Bright Health, and TailorCare
• [04:47] The evolution of risk-based musculoskeletal care and why it remains an untapped opportunity
• [08:12] Challenges in Medicare Advantage and value-based models – misaligned financial incentives and fragmented care
• [14:36] The importance of real-time data access and claims transparency in patient management
• [22:57] How TailorCare’s risk-based navigation model improves patient outcomes and reduces unnecessary procedures
• [33:18] The role of predictive analytics and provider quality data in care coordination
• [39:09] How musculoskeletal care impacts patient mobility, function, and behavioral health[45:32] The potential impact of GLP-1s and stem cell therapies in orthopedic care

• Risk-Based Care Requires Smarter Coordination – TailorCare bridges payer incentives and provider decision-making to create cost-effective, high-quality MSK care pathways.
• Predictive Analytics is a Game Changer – Using claims data, patient history, and utilization patterns, TailorCare proactively navigates patients toward optimal treatment options.
• Care Fragmentation Leads to Poor Outcomes – Without structured guidance, MSK patients often go through unnecessary imaging, procedures, or delayed interventions, increasing costs and worsening health.
• Patients Need More Engagement & Support – TailorCare’s licensed physical therapists act as navigators, providing evidence-based guidance to ensure better outcomes and patient satisfaction.

Website: TailorCare

LinkedIn: Rachel Winokur

Rachel Winokur is a healthcare entrepreneur and executive with deep expertise in payer strategy, risk-based care models, and healthcare investment. She has led major initiatives at Aetna and Bright Health, driving value-based care adoption and primary care integration. As the Founder & CEO of TailorCare, she is revolutionizing musculoskeletal care by optimizing treatment pathways, improving patient engagement, and reducing unnecessary medical spend.

Roy Bejarano sits down with Victor Schmerbeck, CEO of Emerus, to discuss the evolution of neighborhood hospitals, how health systems are shifting their care models, and the role of private equity in modernizing healthcare delivery.

In this episode, Victor explains how Emerus has partnered with 12 major health systems, developing 40+ neighborhood hospitals to improve patient access, care coordination, and efficiency. He shares insights on why hospitals are decentralizing, the financial structure of these partnerships, and why smaller hospitals reduce costs while improving outcomes. This discussion is essential for healthcare executives, payers, and investors looking to understand the future of hospital-at-home models, outpatient expansion, and MSO partnerships.

• [00:02] Introduction to Victor Schmerbeck and his leadership journey at Emerus
• [01:53] The evolution of Emerus – from emergency care to health system partnerships
• [05:02] Neighborhood hospitals vs. micro-hospitals – the shift to community-based care
• [12:56] How neighborhood hospitals act as hubs, improving patient flow and referrals
• [18:17] Why only 150+ neighborhood hospitals exist today and the case for expansion
• [24:46] Hospitals are shifting towards performance-focused, cost-effective care
• [33:13] The role of payers & value-based care in small-format hospital success
• [44:10] How private equity supports hospital MSO partnerships and future growth

• Health Systems Are Decentralizing – Large hospitals are shifting to smaller, community-based neighborhood hospitals to increase access, lower costs, and improve care coordination.
• MSO-Hospital Partnerships Drive Efficiency – Through white-label partnerships, Emerus helps health systems operate efficient, high-quality neighborhood hospitals, reducing readmissions and length of stay.
• Neighborhood Hospitals Fill a Critical Gap – Positioned between urgent care and tertiary hospitals, these facilities reduce ER overcrowding and streamline specialty referrals.
• Private Equity Is Fueling Healthcare Innovation – Investors like Welsh Carson play a key role in funding operational improvements, driving focus, and expanding care models.

Website: Emerus

Victor Schmerbeck is the CEO of Emerus, the nation’s largest operator of neighborhood hospitals. With extensive experience in healthcare investment, operations, and system partnerships, he has led Emerus’ expansion to 40+ hospitals in collaboration with 12 major health systems. Under his leadership, Emerus has helped health systems increase access, reduce costs, and modernize acute care delivery.

Healthcare, Health System Partnerships, Roy Bejarano, Healthcare Innovations, Value-Based Care, MSO Strategy, Neighborhood Hospitals, Acute Care, Population Health, Private Equity in Healthcare, Emergency Medicine, Healthcare Economics, Care Coordination, Hospital-at-Home, Victor Schmerbeck,

In this episode of the Scale Community Technology & Innovation in Healthcare Series, host Jason Schifman sits down with Kyle Frye, CEO of Cortex AI, to discuss healthcare leadership and groundbreaking healthcare innovations in AI-powered imaging technology. Kyle shares how Cortex AI is revolutionizing brain care and oncology by introducing quantitative imaging, giving neurologists and radiologists the ability to track and analyze patient conditions like never before. Tune in to explore the healthcare trends shaping neuroimaging, AI in diagnostics, and the future of brain health.

• [02:00] – The evolution of Cortex AI from neurology to oncology: How AI is transforming healthcare industry insights.
• [05:30] – From black-and-white imaging to AI-driven data: The rise of quantitative imaging in healthcare leadership.
• [14:00] – Overcoming barriers to adoption: How AI-driven imaging integrates seamlessly with existing workflows.
• [22:45] – Case study: Using AI to detect traumatic brain injuries missed by traditional imaging.
• [32:30] – The future of preventative healthcare: Can AI-driven brain scans become as routine as blood tests?
• [42:00] – Expanding globally: How Cortex AI is bringing healthcare innovations to new markets.

• AI Enhances, Not Replaces, Radiology – Cortex AI provides neurologists and radiologists quantitative imaging that complements existing workflows, improving speed and accuracy.
• Data-Driven Brain Health is the Future – AI-based brain scans help detect dementia, tumors, and brain injuries earlier, improving healthcare industry insights and patient outcomes.
• Preventative Imaging is on the Rise – The adoption of full-body and brain scans as preventative healthcare trends is growing, potentially making AI-driven diagnostics routine.
• Global Expansion & Healthcare Accessibility – Cortex AI is working to improve imaging access worldwide, especially in regions where wait times for scans are long.

Website: https://www.cortechs.ai/

LinkedIn: https://www.linkedin.com/in/kyle-frye-18843119/

Kyle Frye, CEO of Cortechs.ai, a market leader, and innovator in medical technology solutions. Discover how the Company is transforming neurology, radiology, and oncology with state-of-the-art medical imaging, leveraging clinical data and machine learning to empower physicians in making more accurate and timely diagnostic decisions.

Healthcare, Healthcare Leadership, Healthcare Trends, Roy Bejarano, Healthcare Innovations, Healthcare Industry Insights, AI in Healthcare, Neuroimaging, Cortex AI, Medical Technology, Radiology AI, Kyle Frye,