Dec 20, 2018
Today’s episode features the following guests:
Ross Bjella, MBA,
is the founder and CEO of Alithias, a patient advocacy and
population health analytics company serving self-insured employers,
insurance companies, networks, and third-party
administrators. (EP163)
John Lynn is the founder of the
HealthcareScene.com network, which currently consists of
10 blogs containing over 11,000 articles, with John having written
over half of the articles himself. These EMR and health care
IT-related articles have been viewed over 18 million
times. (EP124/171)
Gary
Frazier is a disrupter and
founder of OM Healthcare, Inc., a health care technology
start-up established in 2015. He has over
18 years of business development experience and over 13 years of
executive-level hospital and health system strategy
expertise. (EP168)
David Smith is from Avia and
founder of Third Horizon Solutions. He is chief
development officer, where he is responsible for expanding the
firm’s influence in the health care market. (EP135)
Alex Jung is global strategist at
Ernst and Young. She is a partner/managing director in
Parthenon-EY, where she works primarily on growth strategy
projects. (EP189)
Joe Murad is president and CEO at
Pokitdoc. He most recently served as managing
director and head of individual exchange solutions for Willis
Towers Watson, where he was responsible for the largest private
health insurance exchange. (EP183)
Frazer Buntin is president of
value-based services from Evolent Health. He has worked in
strategic and operations leadership positions for the past 17
years. He is responsible for managing the operational performance
of Evolent Health’s partners. (EP202)
A.G. Breitenstein is a
partner at Optum Ventures. She was most recently the
co-founder and chief product officer at Humedica, one of the
earliest big-data analytics companies in health care. (EP207)
02:21 Ross Bjella’s short list—5 action items—for employers to
get the most for their money out of the health care system.
03:05 Take control of employer health care costs by gaining access
to their health care data.
03:18 Offer an incentive-based plan design.
03:32 Create virtual narrow networks.
03:46 Offer live care navigators.
04:10 The importance of controlling health care costs.
04:43 The emotional component behind what an employer must do to
maximize the value of their health care.
05:10 Disruptive vs incremental change, and what’s really happening
in health care.
06:17 John Lynn of HealthcareScene.com, and why it’s so tough for
disrupters to break into the health care system.
07:26 The weird dynamic of the false market that is health
care.
08:46 Health care regulations making it difficult to disrupt the
market.
13:15 Gary Frazier’s opinion on connecting value-based care and
empowered patients.
15:20 What value-based care is really about.
16:17 David Smith elaborates on the problem with assuming empowered
patients change health care.
18:21 Rational decision making and how that isn’t always present in
health care.
19:19 Alex Jung and the “messy middle” of the economic side of
health care.
19:44 How the economic model, not the business model, of health
care is broken.
21:36 “Is [this] necessary?”
22:13 Joe Murad and the “messy middle” in medical services
pricing.
23:11 Frazier Buntin and where we are in the transition from fee
for service to value-based care.
24:09 Is this change driven from the health system or major
employers?
25:00 A.G. Breitenstein and the power of consumers en masse to move
markets.