"There's been a degree of toxic positivity in US healthcare," says Dr. Sachin Jain, CEO of SCAN Health Plan. In this episode about healthcare's need for radical change, Dr. Jain challenges industry orthodoxy and calls for a leadership revolution. From Medicare Advantage turbulence to the failures of healthcare consolidation, he offers an insider's view of what needs to change.
We cover:
🔄 Why healthcare needs to move beyond "toxic positivity" and incremental improvements toward real transformation
⏰ The fundamental flaw in value-based care: measuring outcomes in one-year increments when real health improvements take decades
💰 Medicare Advantage's current challenges, including benefit cuts, market exits, and controversial star ratings
🏥 Why healthcare consolidation has failed to deliver better outcomes and may be driving clinician burnout
🏠 How SCAN's "12 angry seniors" sparked a movement to help people age at home, and why that mission remains relevant today
⚡ The need for a new generation of healthcare leaders willing to think big instead of being trained to be incrementalists
🔑 His advice for the new administration
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About our guest:
Sachin H. Jain, MD, MBA is President and CEO of SCAN, where he is charged with leading the organization’s growth, diversification, and emerging efforts to reduce healthcare disparities. SCAN’s revenues top $4.3 and the organization serves 300,000 patients. Under his leadership, SCAN has grown its revenues by more than $1B.
Previously, Dr. Jain was President and CEO of CareMore and Aspire Health, innovative care delivery systems with > $1.6B in revenues serving 200,000 Medicare and Medicaid patients and 2500 associates in 32 states. He pioneered the first clinical program in the world focused on social isolation. Dr. Jain is also an adjunct professor of medicine at the Stanford University School of Medicine and a contributor at Forbes.
Prior to joining CareMore, Dr. Jain was global Chief Medical Information & Innovation Officer at Merck & Co. He contemporaneously served as an attending physician at the Boston VA-Boston Medical Center and a member of faculties at Harvard Medical School and Harvard Business School. From 2009-2011, Dr. Jain worked in leadership roles at the US Department of Health and Human Services, where he was senior advisor to the administrator of the Centers for Medicare & Medicaid Services (CMS). Dr. Jain was the first acting deputy director for policy and programs at the Center for Medicare and Medicaid Innovation (CMMI). He also served as special assistant to the National Coordinator for Health Information Technology.
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Thank you to medical school student Eric Shan for help preparing this episode!
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