

a16z Podcast: How to Pay for Healthcare Based on Health
Sep 6, 2019
Patrick Conway, former CEO of Blue Cross Blue Shield North Carolina and a pediatrician deeply involved in the value-based care movement, reveals how healthcare can transition from fee-for-service to value-based models. He discusses the impact of social determinants like food insecurity on health outcomes and suggests innovative financing solutions. Conway also shares insights on navigating complex U.S. policies and the critical role of technology in driving change. His firsthand experience offers a unique perspective on reforming the healthcare landscape.
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Origins of Blue Cross Blue Shield
- Blue Cross Blue Shield plans originated as state resources around the 1920s and 30s.
- They initially served specific workforces like teachers, timber workers, evolving as healthcare became more expensive.
Systemic Healthcare Innovation
- Real healthcare innovation requires systemic change, not just isolated programs.
- A willing payer is essential for driving this large-scale transformation.
Transportation and Readmissions
- Lack of transportation is a major driver of hospital readmissions.
- A study found it was the biggest factor, hindering access to follow-up care.