EP486: The Secrets to Operationalizing Direct Contracting From an OG, With Stan Schwartz, MD
Relentless Health Value
Intro
This chapter explores the confusing landscape of healthcare claims, shedding light on the misconceptions surrounding self-funded health plans. It also addresses the chaotic pricing of medical services, emphasizing the stark variations in costs within the same region.
In this episode of Relentless Health Value, host Stacey Richter sits down with Dr. Stan Schwartz, co-founder of ZERO.health, to explore the practical realities and benefits of direct contracting in healthcare.
Dr. Schwartz shares his journey from traditional healthcare to pioneering bundled payments and direct contracts, offering actionable insights for employers, providers, and anyone interested in making healthcare more affordable and predictable. The conversation covers the challenges of claims, cost variability, operationalizing direct contracts, and the impact on both patients and providers.
Discover how employers and providers can use bundled payments to cut costs, simplify administration, and deliver $0 out-of-pocket care for patients.
It was an honor to get Dr. Schwartz on the pod, and we are doubly thankful because he stepped up and offered to help support Relentless Health Value financially as well as spending his time with me and you. So, thanks to everyone over at ZERO.health for being part of the kind of folks who support shows like this one.
Dr. Stan Schwartz is co-founder over at ZERO.health. ZERO gets members access to high-quality providers for $0 out of pocket, leveraging bundled payments and direct contracting.
This episode, as I just said, is sponsored by ZERO.health, with an assist from Aventria Health Group.
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đź”— Zero.Health https://zero.health.com
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07:59 How did ZERO.health start?
10:38 EP480 with Kimberly Carleson.
11:04 Why does the emotional energy behind understanding how the problem of healthcare affects individuals matter in changing healthcare?
12:45 “If you can schedule it, you can put a price on it.”
15:32 EP420 with Ge Bai, PhD, CPA.
16:38 EP436 with Elizabeth Mitchell.
18:21 How do employers ensure that patients and clinicians are coordinated and on board with direct contracting within their health plans?
20:26 EP475 with Peter Hayes.
22:52 Why is it important that this direct contracting system isn’t mandatory for health plan members?
24:50 How does direct contracting affect excessive utilization?
26:41 EP477 (Through Line Show) with Stacey.
27:29 Why is it important that your plan benefits benefit health?
29:39 Why is it important to educate not only members but also providers who agree to participate in the program?
31:06 “It’s all about simplicity.”
33:11 How do you ensure plan members use the service after it is installed?
Recent past interviews:
Click a guest’s name for their latest RHV episode!
Dr Cristin Dickerson, Elizabeth Mitchell (Take Two: EP436), Dave Chase, Jonathan Baran (Part 2), Jonathan Baran (Part 1), Jonathan Baran (Bonus Episode), Dr Stan Schwartz (Summer Shorts), Preston Alexander, Dr Tom X Lee (Take Two: EP445), Dr Tom X Lee (Bonus Episode), Dr Benjamin Schwartz, Dr John Lee (Take Two: EP438)
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