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Fixing Healthcare Podcast
FHC #147: Game theory and healthcare—the complex relationship between doctors, payers and patients
Sep 11, 2024
In this engaging discussion, Dr. Jonathan Fisher, a dedicated cardiologist and advocate for physician well-being, teams up with Dr. Robert Pearl, a prominent healthcare leader and author, alongside Jeremy Corr, CEO of Executive Podcast Solutions, who provides the patient’s perspective. They delve into the application of Game Theory in healthcare, revealing how it can transform adversarial relationships between doctors and insurers into collaborative efforts. The trio also examines the balance of physician autonomy and teamwork, advocating for a shift from competition to cooperation for better patient outcomes.
51:22
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Quick takeaways
- Game Theory can transform adversarial doctor-insurer relationships into collaborative partnerships, ultimately improving patient outcomes and care efficiency.
- Addressing tribalism within the medical community is essential for enhancing teamwork among specialties, leading to better healthcare delivery for patients.
Deep dives
The Doctor-Insurer Dilemma
The relationship between doctors and insurance companies is often characterized by a significant disconnect, leading to frustration and inefficiency in patient care. Physicians frequently find that necessary tests or treatments for their patients are denied by insurers, which can create a lose-lose situation for all parties involved. For instance, a cardiologist might wish to conduct a CT coronary angiogram for a patient, only to have it rejected by the patient's insurance, hindering both the physician's ability to provide optimal care and the patient's access to needed diagnostic information. This dynamic suggests a flawed system where cooperation could lead to better outcomes, yet the current structure often fosters resentment and a lack of communication between the involved parties.
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Discover
highlights
Listen to the best highlights from the podcasts you love and dive into the full episode