Health & Veritas Kate Goodrich: A Better Model for Care
Jul 11, 2024
Kate Goodrich, Chief Medical Officer at Humana and former Medicare leader, dives into the transformative power of value-based care for seniors. She discusses how fully capitated practices outperform fee-for-service models, resulting in reduced hospitalizations and improved chronic care. The conversation also explores the challenges of AI diagnostic tool payments and the need for evidence to guide coverage decisions. Goodrich advocates for prospective, risk-adjusted payment models to drive meaningful change in primary care.
AI Snips
Chapters
Transcript
Episode notes
AI Uncovers Hidden Signals In Routine Data
- AI can extract novel diagnostic and risk signals from existing data like ECGs, revealing conditions clinicians often miss.
- These algorithms will transform specialties (e.g., cardiology) and help reach areas lacking specialists.
Require Evidence Before Paying For AI Tests
- Payers and regulators must define payment and evidence frameworks before AI tests proliferate.
- Test adoption should be tied to demonstrated value, safety, and comparative effectiveness, not just novelty.
Lead By Listening And Aligning Purpose
- To lead within large organizations, invest in genuine curiosity and listening to understand stakeholders' perspectives.
- Use that understanding to align people around a clear common purpose before executing change.