Dr. Rhiannon Winsor is joined by Tony Rodgers to explore the critical transition from fee-for-service to value-based care. Learn why many health centers are choosing to partner with ACOs, how payment models are evolving, and what this means for patient outcomes, provider incentives, and long-term healthcare sustainability.

In this final episode of the series, The Exam Room brings together Dr. Rhiannon Winsor, Dr. Darlene Melk, and Dr. Shantipriya Siripurapu for a reflective and energizing conversation on the evolution from task-based care to strategies that truly improve outcomes.

The doctors emphasize the power of collaboration across health centers, the importance of shared learning, and why focusing on just one small, achievable goal can spark meaningful change. They also explore the critical role of community insight in delivering equitable care — especially in rural areas — and how primary care continues to transform lives through access, prevention, and compassion.

🩺 Key takeaways:

Choosing one actionable area for quality improvement

The value of peer support and shared best practices

Strengthening care through community connection

Primary care's role in driving equity and innovation

Staying grounded in the mission of “health for all”

This episode is a call to action — and a reminder that change is possible when we do it together.

In this episode of The Exam Room, the conversation gets tactical with real-world strategies to improve outcomes in Medicare Annual Wellness Visits and diabetes management. Dr. Darlene Melk shares how her health center significantly boosted wellness visit completion rates by training medical assistants, removing scheduling barriers, and aligning incentives to drive results. The team also dives into challenges like provider fatigue, Medicare eligibility checks, and how operational leadership helped pave the way for success. Later, the focus turns to diabetes care — exploring how clinical pharmacists, patient education, and targeted outreach to high-risk patients are making an impact. The episode also highlights innovative solutions for cost and medication access, including an internal patient support fund that pairs practical support with compassionate care.

🎯 Key topics include: Increasing Medicare Annual Wellness Visit rates

Reducing barriers through MA engagement and workflow redesign

Managing provider fatigue and Medicare compliance Team-based approaches to diabetes control

Outreach strategies for high-risk patients Addressing cost barriers with internal patient assistance programs

Whether you’re leading operations or working directly with patients, this episode offers powerful insights into how healthcare teams can close care gaps and deliver smarter, more equitable care.

🔔 Don’t forget to like, subscribe, and hit the bell for more conversations from The Exam Room.