FHC #102: Diving deep into value-based care and the need for ‘system-ness’

Aug 16, 2023

This episode explores the challenges and opportunities of the Kaiser Permanente and Geisinger Health merger and its impact on value-based care. It discusses the need for more efficient and effective healthcare, the importance of system-ness, and the potential of retail giants like Amazon, Walmart, and CVS in the healthcare industry. The chapter also emphasizes the essential components of value-based care, such as capitation and coordinated teams of clinicians. Lastly, it highlights the battle to transform American medicine and the potential consequences of slow incumbents and lack of investments.

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Introduction

00:00 • 2min

The Acquisition of Geisinger by Kaiser Permanente: Implications for Value-based Care

01:59 • 18min

The Challenge of Coordinating Care and Implementing Operational Improvements

20:21 • 8min

Implementing Value-Based Care and the Importance of Capitation

28:25 • 3min

The Potential of Retail Giants in the Healthcare Industry

31:19 • 3min

The Battle to Transform American Medicine and the Potential Consequences

33:56 • 3min

Time and again, researchers have confirmed that the American healthcare system is ineffective, too expensive and falling further behind its international peers in critical measures of performance.

In this episode of Diving Deep, cohosts Dr. Robert Pearl and Jeremy Corr go in search of medicine’s holy grail: the provision of higher quality care that’s more convenient and more affordable—all at once. In short, this episode focuses on the quest for value-based care.

The journey begins as our hosts explore the recent mega-merger between Kaiser Permanente and Geisinger Health. Could this union help spark a national value-based care movement? Or is that kind of transformative change likelier to come from one of healthcare’s newer entrants (among the most imposing are the retail giants: Amazon, Walmart and CVS).

Other questions answered on today’s show: What are the biggest difficulties Kaiser and Geisinger will need to overcome? What are the hurdles the retail giants will need to overcome to topple healthcare’s incumbent powers? How does system-ness fit into the equation? Why is capitation so important? And which organization(s) will emerge as healthcare’s next superpower?

Click play to learn more or check out the various links below for additional information.

HELPFUL LINKS

Kaiser Permanente Acquires Geisinger Health in $5 Billion Mega-Deal (Medscape)
Value-Based Healthcare Battle: Kaiser-Geisinger Vs. Amazon, CVS, Walmart (Forbes)
Retail Giants Vs. Health Systems: Fight Will Come Down To ‘System-ness’ (Forbes)
What Kaiser’s Acquisition of Geisinger Means for All of Us (LinkedIn)
Monthly Musings on American Healthcare (Robert Pearl’s newsletter)

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Dr. Robert Pearl is the author of a book about medicine’s invisible yet highly influential physician culture. Check out “Uncaring: How Physician Culture Is Killing Doctors & Patients.” All profits from the book go to Doctors Without Borders.

Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify, Stitcher or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn.

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