Welcome to another episode of Flip Your Script, a vodcast by the American College of Lifestyle Medicine, hosted by ACLM President Dr. Padmaja Patel. In each episode, we explore five key takeaways on how lifestyle medicine is helping clinicians and leaders reimagine the future of healthcare.

This episode, “Beyond Pilots: Scaling Lifestyle Medicine in a Value-Based World,” features Dr. Sachin Jain, CEO of SCAN Group and SCAN Health Plan—one of the nation’s largest nonprofit Medicare Advantage plans. Drawing on his experience leading value-based organizations and advising at the federal level, Dr. Jain offers a practical roadmap for aligning lifestyle medicine with modern payment models.

The conversation dives into why Medicare Advantage and capitation can create meaningful opportunities for prevention-focused care. Dr. Jain explains how taking accountability for total cost of care shifts the focus from volume to outcomes—and why reducing hospitalizations, delaying chronic disease progression, and investing in intensive management can be both clinically impactful and financially sustainable.

You’ll also hear a candid discussion about scaling versus piloting, avoiding incrementalism, and building the financial sophistication needed to expand lifestyle medicine beyond niche programs. From measure alignment to advocacy strategy, this episode explores how clinicians can design models that reward health rather than utilization.

If you’re interested in value-based care, Medicare Advantage, scaling prevention, or building sustainable business models for lifestyle medicine, this is an episode you won’t want to miss.

Fireside Chat with Dr. Jain at LM2025: https://www.youtube.com/watch?v=nDMdLf8zgoU

Learn More About SCAN Group: https://www.thescangroup.org/

Subscribe to ACLM on YouTube: ⁠⁠https://www.youtube.com/channel/UCsjJsNjWtUf30LiofumGRfQ⁠⁠

The American College of Lifestyle Medicine (ACLM) is the medical professional society for physicians and other professionals dedicated to clinical and worksite practice of lifestyle medicine as the foundation of a transformed and sustainable healthcare system.

Lifestyle medicine is a medical specialty that uses therapeutic lifestyle interventions as a primary modality to treat chronic conditions including, but not limited to, cardiovascular diseases, type 2 diabetes, and obesity. 

Lifestyle medicine-certified clinicians are trained to apply evidence-based, whole-person, prescriptive lifestyle change to treat and, when used intensively, often reverse such conditions. Applying the six pillars of lifestyle medicine—a whole-food, plant-predominant eating pattern, physical activity, restorative sleep, stress management, avoidance of risky substances, and positive social connections—also provides effective prevention for these conditions.

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