EP286: Advice for Health Systems in the Face of Consumerism and Value-based Contracts, With John Rodis, MD, MBA

John Rodis, MD, MBA, is an OB/GYN specializing in high-risk pregnancies. He’s been a board examiner and a department chairman. He’s been a COO and a CEO of a 600-bed Level 1 trauma center. He’s also an author working on a book to help consumers make better choices.

Dr. Rodis has said he feels an inflection point is coming in the transition to value. First, we have the pressure of large employers. Second, we’ve got doctors themselves who are being crushed by the current environment and who may also have realized that FFS (fee for service) is kinda risky in the middle of a pandemic. The third force toward the inflection point is the new breed of fee-only transparent brokers. And then fourth, we’ve got the government, particularly state governments who are struggling fiscally coming out of this pandemic and also realizing that the current health care system is pretty rigged to profit on the backs of taxpayers and firefighters and teachers.

In the face of this transition, health systems who aren’t keeping up with the times are at increasing risk. Given that Dr. Rodis has held pretty much every job in health care at this point, he’s probably the perfect person to ask how to quantify that risk, number one, and then what health system leaders should be doing in the face of it.

You can learn more by emailing Dr. Rodis at john@aristahealth.com. 

John F. Rodis, MD, MBA, is a high-risk obstetrician by training and has had a long and illustrious career as a renowned health care leader. Most recently, he was the president of Saint Francis Hospital and Medical Center in Hartford, Connecticut. Dr. Rodis had two stints at Saint Francis, starting there early in his career as a maternal-fetal medicine fellow in 1985. In between, he was head of obstetrics and gynecology at Stamford Hospital, served as its chief medical officer, was a faculty member at the UConn School of Medicine, and became chair of OB/GYN at Saint Francis in 2011.

Dr. Rodis took the helm at Saint Francis as a recent state provider tax was quickly expanding into a huge fiscal burden on Connecticut’s acute care hospitals. In December 2015, he was named its eighth president. Dr. Rodis was the first physician to be appointed president in Saint Francis’s 118-year-history. He guided the hospital through an era of consolidation and rising state taxes. His last challenge arrived in spring 2020 as he oversaw an expansion of temporary facilities as the hospital faced the crush of the coronavirus pandemic. Also, during his tenure as president, Dr. Rodis ushered the Saint Francis team through significant change and transformation, much of which has been recognized at the national and regional level. Those transformations led them to achieve an “A” Safety Grade from Leapfrog seven of the last eight grading cycles. Saint Francis was also named Best Regional Hospital in 2019 by US News & World Report and was the only hospital in Connecticut named one of the nation’s 100 Top Hospitals by IBM Watson Health.

Dr. Rodis’s passion is patient safety and, in particular, providing consumers (patients) with reliable data to make informed health care decisions. He departed his post as president of Saint Francis in May 2020. Dr. Rodis has now started his own consulting firm, Arista Health, and is finishing a book entitled You Put Your Life in Their Hands.

02:16 How the scales are starting to rebalance. 02:44 “There’s going to be a day of reckoning.” 04:18 The risk a health system is taking by not adjusting to the market. 05:20 Where are the nominal dollars coming from, and where might they come from in the future. 08:04 EP279 with Peter Hayes.08:15 EP281 with Rob Austin.08:56 The difference in today’s market when it comes to cost setting. 10:02 Why the conversation is shifting from cost comparisons to value comparisons. 11:34 Value is quality over cost. 11:55 The four domains that go into value. 12:32 EP242 with Dr. Marty Makary.14:01 “The problem in this market: It’s not that free.” 16:48 Who is best equipped to be an arbiter of value in this new market system? 18:49 “I think that trust is starting to erode.” 20:30 How payers are leading the charge on this market change. 21:37 Dr. Rodis’s advice to hospital and health system executives to get ahead of this market change. 24:45 EP257 with Karl Bilimoria, MD.26:53 “I think you have to take ownership.” 28:08 “There’s no real Four Seasons business [model] in health care.” 28:30 “Look at the entire episode of cost.” 29:51 Where bundling falls into this equation. 31:45 Dr. Rodis’s upcoming book.

You can learn more by emailing Dr. Rodis at john@aristahealth.com. 

Check out our newest #healthcarepodcast with John Rodis, MD, MBA, as he discusses #healthsystems, #consumerism, and #valuebasedcontracts. #healthcare #podcast #digitalhealth #vbc #valuebasedcare

How are the scales of the market starting to rebalance? John Rodis, MD, MBA, discusses #healthsystems, #consumerism, and #valuebasedcontracts on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #valuebasedcare

“There’s going to be a day of reckoning.” John Rodis, MD, MBA, discusses #healthsystems, #consumerism, and #valuebasedcontracts on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #valuebasedcare

What’s the risk a health system is taking by not adjusting to the market? John Rodis, MD, MBA, discusses #healthsystems, #consumerism, and #valuebasedcontracts on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #valuebasedcare

What’s the difference in today’s market when it comes to cost setting? John Rodis, MD, MBA, discusses #healthsystems, #consumerism, and #valuebasedcontracts on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #valuebasedcare

Why is the conversation shifting from cost to value comparisons? John Rodis, MD, MBA, discusses #healthsystems, #consumerism, and #valuebasedcontracts on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #valuebasedcare

Value is quality over cost. John Rodis, MD, MBA, discusses #healthsystems, #consumerism, and #valuebasedcontracts on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #valuebasedcare

“The problem in this market: It’s not that free.” John Rodis, MD, MBA, discusses #healthsystems, #consumerism, and #valuebasedcontracts on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #valuebasedcare

Who is best equipped to be an arbiter of value in this new market system? John Rodis, MD, MBA, discusses #healthsystems, #consumerism, and #valuebasedcontracts on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #valuebasedcare

“I think that trust is starting to erode.” John Rodis, MD, MBA, discusses #healthsystems, #consumerism, and #valuebasedcontracts on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #valuebasedcare

“I think you have to take ownership.” John Rodis, MD, MBA, discusses #healthsystems, #consumerism, and #valuebasedcontracts on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #valuebasedcare

“There’s no real Four Seasons business [model] in health care.” John Rodis, MD, MBA, discusses #healthsystems, #consumerism, and #valuebasedcontracts on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #valuebasedcare

“Look at the entire episode of cost.” John Rodis, MD, MBA, discusses #healthsystems, #consumerism, and #valuebasedcontracts on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #valuebasedcare

Where does bundling fall into this equation? John Rodis, MD, MBA, discusses #healthsystems, #consumerism, and #valuebasedcontracts on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #valuebasedcare