Health & Veritas Farzad Mostashari: Aligning Incentives to Fix Primary Care
Feb 15, 2024
Farzad Mostashari, co-founder and CEO of Aledade and former National Coordinator for Health IT, shares his journey from public health to primary care reform. He argues that current healthcare incentives favor treatment over prevention, leading to costly outcomes. Notably, he outlines Aledade's mission to align patient-provider incentives, promoting preventive care. Farzad also discusses the importance of detecting fraud in healthcare billing and how Aledade supports independent practices amidst industry consolidation.
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Incentives Drive Care Priorities
- Farzad Mostashari argues that the core problem is incentives that reward treatment over prevention.
- Aligning payment so preventing strokes is profitable would shift healthcare investments upstream.
Aledade Was Born On A Napkin
- Farzad recounts the napkin-origin of Aledade and the JAMA piece that laid out the plan.
- He envisioned 100 primary care docs managing a billion-dollar spend to reinvest savings into primary care.
Aggregate Practices To Unlock Value
- Build scale by aggregating independent primary care practices so benchmarks become actuarially reliable.
- Use shared-savings contracts to create a new revenue stream that rewards keeping patients healthy.