The MTVA team talks to Dr. James Caillouette, the visionary behind Hoag Orthopedic Institute, a joint venture orthopedic specialty hospital in Irvine, California, about the path to the establishment of a groundbreaking healthcare institution that prioritizes shared ownership and governance between hospitals and physicians. Jamie discusses the factors that drove the need for this innovative model, from the impact of the Affordable Care Act to the competitive landscape of Southern California. He gives us an inside look at the specialized surgical protocols and bundled payment offerings, highlighting the commitment to data-driven decision-making and the importance of maintaining a strong focus on patient experience, satisfaction, safety, and quality.