Todd Park, former CTO for President Obama, and others discuss the shift from fee-for-service to value-based healthcare. They explore the role of technology, the business model for creating value, and the impact on doctors, patients, insurers, and policymakers.
Value-based care focuses on proactive, coordinated care to improve outcomes and lower costs.
Technology streamlines data analytics and virtual care to enhance patient monitoring and health outcomes.
Deep dives
Introduction to Value-Based Care
Value-based care revolutionizes healthcare by shifting from fee-for-service to paying for the right care at the right time. Doctors are traditionally paid per procedure, leading to escalating healthcare costs without improving outcomes. Value-based care focuses on delivering proactive, coordinated care to improve outcomes and lower costs.
Challenges and Solution for Implementing Value-Based Care
Moving towards value-based care faces challenges like measuring patient health, overcoming administrative hurdles, and integrating data. Technology plays a crucial role in streamlining data analytics and enabling virtual care to monitor patients more effectively. The combination of software and human intervention optimizes delivering outcomes in a tech-enabled service.
Expanding Care Beyond Clinical Aspects
Incorporating non-clinical factors like social determinants, transportation, and food security significantly impacts patient health. Tech can help identify and address these low-hanging fruit areas by offering tailored care, thus enhancing health outcomes and lowering costs. Providing medical transportation and personal support are essential components that lead to a holistic patient-centered approach.
Policy and Innovation Towards a System-Wide Transformation
Transforming the healthcare system towards value-based care requires a shift in policies towards technology-enabled payer-provider stacks focused on outcomes, cost efficiency, and consumer experience. In the Medicare space, interventions yielding short-term benefits align well with the member's retention period. Policy innovation is necessary to address the challenges of shorter insurance tenures and ensure sustainable value-based care models for all segments of the population.
The way we pay for healthcare in the US has long been by fee-for-service: per doctor visit, per test, per surgery, per hospital stay. But that system has led to rapidly escalating volumes of services and cost to the system—without actually improving outcomes. What if we shifted everything towards paying for value—and outcomes—instead?
In this episode, Todd Park, co-founder and executive chairman of Devoted Health, and formerly Chief Technology Officer and technology advisor for President Barack Obama; a16z General Partner Vijay Pande; and Bio Eats World host Hanne Winarsky—talk all about the megatrend of value-based care, and how it is redefining healthcare itself. Why is now the moment for this massive shift? How do we implement it? What does it mean for doctors and patients, insurers and policymakers? What is tech’s role in making it possible, and what's the business model and incentive for creating value?
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