"What happens when healthcare stops rewarding volume and starts rewarding value?"
Dr. Anna Chacon, board-certified dermatologist and host of Skin Deep, welcomes Jonathan Gruner, CEO of Salud Healthcare. With over 15 years of healthcare experience, Gruner leads a premier Managed Service Organization supporting independent primary care physicians transitioning from fee-for-service to value-based care. This father of four married at 21 and built a 75-person company while staying true to his Orthodox Jewish values. "We are all created in God's image," Gruner explains.
Gruner breaks down fee-for-service medicine's problems and presents compelling alternatives. The conversation explores Medicare Advantage mechanics, capitation rates, and risk-sharing arrangements. How can independent physicians survive the mandated 2030 transition to value-based care? Gruner offers practical solutions, explaining how his company serves as "the backbone for primary care practices." As he puts it: "The future of healthcare must be within a value-based care setting."
Jonathan Gruner is CEO of Salud Healthcare, revolutionizing how independent primary care physicians transition to value-based care. Originally from Far Rockaway, New York, this Orthodox Jewish entrepreneur leads a 75-person team while raising four children in Miami. His leadership philosophy centers on treating all people equally, bringing both innovation and values-driven leadership to healthcare transformation.
In This Episode:

(00:00) Introduction - the young generation, value-based care
(01:08) Growing up in Far Rockaway and journey to Miami healthcare
(05:13) Value-based care versus fee-for-service healthcare models
(08:42) Understanding Medicare Advantage and Government Insurance
(12:31) How doctors and capitation rates work in value-based care
(17:15) Jonathan's entry into healthcare transformation
(19:37) Orthodox Jewish values in business leadership

About Skin Deep: A podcast for dermatology professionals. Host Dr. Anna Chacon shares insights on dermatology's future, telemedicine, and serving underserved communities.
About Dr. Chacon: Board-certified dermatologist, founder of Indigenous Dermatology, specializing in remote/rural communities. First dermatologist serving Alaska's Bush region, licensed in all 50 states.
Resources: LinkedIn: linkedin.com/in/jonathan-gruner Salud Healthcare: saludhealthcare.com Dr. Chacon: drannachacon.com Social: @miamiderm (Instagram, Facebook, Twitter, TikTok)
Chapters
(00:00:00) - Skin Deep: Value-(00:00:58) - How Married People Balance Their Lives(00:05:13) - What is Value-Based Care in Healthcare?(00:07:50) - Medicare Advantage vs. Straight Medicare(00:15:27) - Health Insurance Companies' Capitations(00:17:11) - How Microsoft is helping primary care doctors navigate the value-based care(00:18:37) - How big is your team at your company?(00:19:37) - Importance of treating everyone equally in the workplace

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