Lessons from loss: A look from the inside of value-based care with Rose Bernards

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Rose Bernards is a believer in value-based care. It’s been a driving force in her career. 

But it was put to the test when she suffered a family tragedy in late 2025. She wrote about that experience in a three-part series for LinkedIn I highly recommend: The Good, the Bad, and the Ugly. Link in the show notes. 

We get into those ups and downs, Rose’s wide-ranging educational career, and expert insights and opinions of all things risk adjustment and the mid-revenue cycle in today’s episode of Off the Record. 

Listen in as we discuss: 

• Where are we today, nationally, with the state of value-based care. Is it fulfilling its mission of improving health outcomes, enhancing patient experiences, and lowering overall costs by rewarding doctors for the quality of care they deliver rather than the quantity of services they provide? 

• What do people consistently misunderstand about risk adjustment?  

• Common audit findings Rose is seeing in her daily work related to documentation/coding/regulatory adherence. Great example of acute MI. 

• Career stops at high profile organizations including Optum, First Choice Health, and working as an adjunct professor at Pacific University. The common thread? Education. 

• What makes for a good educator? Advice for educating providers with a lesson that sticks. 

• The story of her personal loss and how it changed her views on the healthcare system 

• What she’s most proud of in her career, one do-over she wishes she had back, and a fine guitar-forward selection for the OTR Spotify playlist 

Rose’s article “The Good, the Bad, and the Ugly (part 1 of 3)”: https://www.linkedin.com/pulse/good-bad-ugly-part-1-3-rose-bernards-l57fc  

Part 2: https://www.linkedin.com/pulse/good-bad-ugly-part-2-3-rose-bernards-s3fpc/  

Part 3: https://www.linkedin.com/pulse/good-bad-ugly-part-3-rose-bernards-y3ofc/