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Listen "Ep 120 – Primary Care Transformation as the Path Forward to Save American Health Care, with Don Crane JD"
Episode Synopsis
The need to strengthen and empower primary care, like the drive towards health equity, is one of the great causes célèbre of American healthcare. As David Blumenthal and Lovisa Gustafsson recently wrote in the Harvard Business Review:
"America's health care system seems, paradoxically, both endlessly innovative and profoundly dysfunctional. On the one hand, we hear almost daily about flashy new ventures like, most recently, Amazon's recent purchase of One Medical, a large provider of primary care, that promise transformative improvements in health care efficiency, quality, and service.
On the other hand, the day-to-day performance of the U.S. health care system is an international embarrassment. The United States spends twice as much as any other high-income country on health services while its maternal mortality, infant mortality, preventable mortality, overdose deaths, levels of chronic illness, levels of obesity, and deaths from Covid-19 put it at the bottom of the pack in the developed world. The American public is awash in personal medical debt, and even the best-connected struggle to find a primary care physician."
In this week’s episode of the Race to Value, we are going to highlight the plight of primary care in the US and share real-time updates of what is actually happening in the marketplace. This important dialogue will help us understand how to improve the role, standing, supply and compensation of primary care practitioners in the US. Joining us the week is Don Crane, Former President and CEO of America’s Physicians Groups. Don recently served as the Co-Chair of the National Primary Care Transformation Summit that occurred on July 25-29th, and we will be discussing with him the key insights from this important meeting. This was an event that the Institute for Advancing Health Value proudly sponsored, along with other key groups such as the Commonwealth Fund, Heritage Provider Network, Upstream, PCORI, Equality Health, Signify Health, and other important organizations leading in the value movement. This event was made possible by our mutual friend Peter Grant, and Don served as a co-chair along with other healthcare luminaries Francois de Brantes, Dr. Clive Fields, Anne Greiner, Shawn Martin, and Elizabeth Mitchell.
Episode Bookmarks:
01:30 The need to strengthen and empower primary care, like the drive towards health equity, is one of the great causes célèbre of American healthcare.
02:00 “The American public is awash in personal medical debt, and even the best-connected struggle to find a primary care physician." (Amazon’s Foray into Primary Care Won’t be Easy)
03:00 Introduction to Don Crane, Former President and CEO of America’s Physicians Groups and the recent National Primary Care Transformation Summit
04:00 The PCT Summit had over 4,800 registrants, with 33 mini-summits, 26 plenary sessions and 150 faculty that were a veritable Who’s Who in American Healthcare!
05:00 “Staying the same is the first step to getting worse. We must change the way we do Primary Care, and the crazy ideas of today will be the genesis of breakthroughs tomorrow.” - Dr. Richard Merkin
05:30 Primary care is that no longer in the backwaters of medicine; it is now being seen as the backbone of the value movement.
06:30 Types of Primary Care: Suboptimal, Fragmented PPO Model vs. Optimal, Integrated HMO/Capitated Model
07:00 Reflections from Dr. Christopher Chen on the need for Primary Care Transformation
08:00 Primary Care Demand-Side: 96% of Medicare spend relates to individuals with multiple chronic diseases.
09:00 The need for coordination processes in primary care to improving quality and moderating costs.
09:30 Care Variation and Waste: 35% of healthcare is related to unnecessary, avoidable care that is wasteful.
10:00 The Improvement of Health as the Ultimate Goal: Better, Personal, Whole-Person Care to Prevent and Predict Disease to Reduce System Demand
"America's health care system seems, paradoxically, both endlessly innovative and profoundly dysfunctional. On the one hand, we hear almost daily about flashy new ventures like, most recently, Amazon's recent purchase of One Medical, a large provider of primary care, that promise transformative improvements in health care efficiency, quality, and service.
On the other hand, the day-to-day performance of the U.S. health care system is an international embarrassment. The United States spends twice as much as any other high-income country on health services while its maternal mortality, infant mortality, preventable mortality, overdose deaths, levels of chronic illness, levels of obesity, and deaths from Covid-19 put it at the bottom of the pack in the developed world. The American public is awash in personal medical debt, and even the best-connected struggle to find a primary care physician."
In this week’s episode of the Race to Value, we are going to highlight the plight of primary care in the US and share real-time updates of what is actually happening in the marketplace. This important dialogue will help us understand how to improve the role, standing, supply and compensation of primary care practitioners in the US. Joining us the week is Don Crane, Former President and CEO of America’s Physicians Groups. Don recently served as the Co-Chair of the National Primary Care Transformation Summit that occurred on July 25-29th, and we will be discussing with him the key insights from this important meeting. This was an event that the Institute for Advancing Health Value proudly sponsored, along with other key groups such as the Commonwealth Fund, Heritage Provider Network, Upstream, PCORI, Equality Health, Signify Health, and other important organizations leading in the value movement. This event was made possible by our mutual friend Peter Grant, and Don served as a co-chair along with other healthcare luminaries Francois de Brantes, Dr. Clive Fields, Anne Greiner, Shawn Martin, and Elizabeth Mitchell.
Episode Bookmarks:
01:30 The need to strengthen and empower primary care, like the drive towards health equity, is one of the great causes célèbre of American healthcare.
02:00 “The American public is awash in personal medical debt, and even the best-connected struggle to find a primary care physician." (Amazon’s Foray into Primary Care Won’t be Easy)
03:00 Introduction to Don Crane, Former President and CEO of America’s Physicians Groups and the recent National Primary Care Transformation Summit
04:00 The PCT Summit had over 4,800 registrants, with 33 mini-summits, 26 plenary sessions and 150 faculty that were a veritable Who’s Who in American Healthcare!
05:00 “Staying the same is the first step to getting worse. We must change the way we do Primary Care, and the crazy ideas of today will be the genesis of breakthroughs tomorrow.” - Dr. Richard Merkin
05:30 Primary care is that no longer in the backwaters of medicine; it is now being seen as the backbone of the value movement.
06:30 Types of Primary Care: Suboptimal, Fragmented PPO Model vs. Optimal, Integrated HMO/Capitated Model
07:00 Reflections from Dr. Christopher Chen on the need for Primary Care Transformation
08:00 Primary Care Demand-Side: 96% of Medicare spend relates to individuals with multiple chronic diseases.
09:00 The need for coordination processes in primary care to improving quality and moderating costs.
09:30 Care Variation and Waste: 35% of healthcare is related to unnecessary, avoidable care that is wasteful.
10:00 The Improvement of Health as the Ultimate Goal: Better, Personal, Whole-Person Care to Prevent and Predict Disease to Reduce System Demand
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