Saul Marqeuz’s weekly Outcomes Rocket podcast features interviews with healthcare leaders sharing lessons on best practices to improve outcomes and business success. I’m featured in the latest edition, discussing hot topics, how to tackle costs, value based care, and suggested areas of focus for 2018.
Patient payments are a real friction point in the US healthcare system. Patients don’t understand what they owe, and doctors usually can’t help them figure it out. HealthiPASS is doing its best to solve these problems with a consumer-friendly approach that pays off financially for providers.
In this podcast interview, HealthiPASS CEO, Rajesh Voddiraju answers my questions about how it all works.
(0:17 )What are the problems with patient payments today?
(2:40) What have physician offices been doing about it about it? How successful are those efforts?
(6:30) How does HealthiPASS work?
(11:50) With the four steps it sounds like you are allowing the physician office to educate the patient about the extent of their financial obligations under high deductible plans. Is that right?
(13:09) How does the system interact with existing practice management systems? What is the impact on the office workflow?
(18:51)The value proposition for physician offices is pretty clear, but what about for patients? Is it in a patient’s interest to use this system?
Tufts Health Plan CEO Tom Croswell is a veteran of the health plan world. I sat down with him recently to discuss value based care, collaboration, diversity and how Tufts tries to set itself apart in a crowded market. Tufts is best known for serving Massachusetts but is also expanding into neighboring states. It has a joint venture in New Hampshire and just announced its entry into Connecticut in partnership with Hartford HealthCare.
(0:08) What’s the outlook for value based care? Have the attacks on Obamacare taken a toll?
(1:15) Tufts got started in a value based way. Say more about that history.
(3:55) You talked about partnering. Who are the partners? How do you work with them?
(5:29) Do health plans need to take an adversarial role with providers? Does your collaborative approach actually work?
(7:42) Does collaboration just work in Eastern Massachusetts? Or can it work more universally, including your new market of Connecticut?
(8:59) Let me ask you about a couple of other buzzwords: diversity and inclusion. What do those words mean to you?
(11:02) Are there particular things you do at Tufts on diversity and inclusion related to your own workforce?
(12:36) Can you measure the impact of your policies and activities?
(13:54) Are you optimistic or pessimistic about 2018?
(15:00) How do you think about differentiating Tufts Health Plan from all the other strong players out there?
In this month’s always entertaining and occasionally informative episode of #CareTalk, CareCentrix CEO John Driscoll and I discuss the newly appointed Secretary of HHS, Alex Azar, and how he will impact the healthcare industry.
(0:20) With Alex Azar confirmed as the new Secretary of HHS, what are we in for?
(1:25) Will Alex Azar help get drug prices under control?
(3:11) How much of an impact can value-based payment make on healthcare?
(5:41) What needs to be done about the convoluted way money flows through the pharmaceutical industry?
(7:32) Is 2018 the year that we turn the corner on the opioid crisis?
(8:06) Congress reauthorized children’s health for another six years. Can we expect more bipartisan support in the near future?
(8:47) When are we going to see the payoff from health information technology?
Obamacare appears to be under unrelenting attack, yet the law’s push toward value based payments seems to be alive and reasonably well. The Center for Medicare & Medicaid Innovation, which was established under Obamacare, has just announced a new episode payment model, called BPCI Advanced.
In this podcast interview, Archway Health CEO Dave Terry talks about the evolution of value based payments, and makes the surprising assertion that voluntary programs may ultimately be more successful in transforming our healthcare system than mandatory ones.
(0:11) What is value based care?
(1:17) When people think about value based payment, usually they think about ACOs. What else is there?
(2:15) How are these models evolving?
(4:26) Having fewer metrics sounds great. But do the remaining metrics need to be more complex or measured more precisely?
(6:18) What’s the connection between value based care and the Affordable Care Act?
(8:17) The new program is voluntary, whereas under Obama we were moving toward mandatory programs. What are the implications?
(10:18) What is BPCI Advanced? What do providers need to know about it?
(12:52) Say more about post acute care. Why can’t post acute providers be episode initiators?
(14:17) Explain how DRGs could go from hospital-only to global?
(14:50) How is Archway involved in BPCI Advanced?
(16:55) Medicare is the driver, but what is the role of commercial payers?