Podnosis
Caring for high-need, high-cost populations in California
Mar 26, 2025
Nate Favini, Chief Medical Officer at Pair Team, and Christian Curby, Executive Director of Turlock Gospel Mission, bring insightful discussions on supporting high-needs populations in California. They delve into the complexities faced by dual-eligible beneficiaries and explore how community care hubs can enhance healthcare delivery. The conversation highlights innovative solutions such as telemedicine and community collaboration, aiming to address both medical and social challenges while improving healthcare outcomes and reducing costs.
37:06
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Quick takeaways
- Dual-eligible beneficiaries, representing the costliest segment, require comprehensive care strategies addressing their complex medical, behavioral, and social needs.
- The Pear Team's community care hub model integrates medical and social support, showcasing a scalable approach to improve healthcare quality for high-need populations.
Deep dives
Enhancing Medication Accessibility
The episode emphasizes the critical role of ensuring medication accessibility through initiatives that provide transparent and clear information about pharmacy benefits. Organizations like OptumRx assist individuals in navigating their medication options by offering savings tools, discounts, and financial assistance. Their approach not only supports patients but also empowers healthcare providers by enabling them to access detailed information regarding patients' benefit plans during consultations. This transparency is aimed at reducing medication costs and streamlining access to necessary prescriptions for patients.
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