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.

Timestamps:

[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

Key Takeaways

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

About the Guest

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.