Patient Focused Payment Model Built on High-touch and Proactive Care

Dr. K. sits down with Dr. Mark McClellan, Director and Professor of Business, Medicine and Policy at the Duke-Margolis Center for Health Policy at Duke University. They discuss moving from a Fee For Service payment model to Value Based Care payment model by integrating Primary Care Providers (PCPs) with Specialists to create a patient focused model built on high-touch, proactive care. Alongside his colleagues at Duke-Margolis Center, Dr. McClellan is currently directing efforts towards devising health policy strategies that bolster the resilience and interconnectedness of modern-day public health and healthcare systems.

Episode Takeaways:

  • The future trajectory of healthcare prioritizes a paradigm shift from reactive to proactive approaches, aimed at early detection and intervention to mitigate risks and complications, thereby enhancing quality of life and longevity. A key focus lies in reforming payment models to integrate healthcare providers into a patient-centric framework, emphasizing proactive, high-touch care.
  • This transformation extends beyond medical realms to encompass broader socio-economic factors, aiming to address chronic conditions and reduce unnecessary healthcare expenditures.
  • Initiatives such as CMS’s exploration of mandatory models for specialty care underscore efforts to drive systemic change towards value-based care. Improved risk adjustment mechanisms and data analytics, exemplified by platforms like SonarMD, contribute to refining healthcare delivery models.

About the Show

An inside look at value-based care in GI

Listen in as Dr. K brings patients, providers and payers together to reimagine GI care in America. He and his guests will discuss emerging trends, research, care and payment models, technologies, regulatory pressures, policies and more. It’s time for a gut check on how GI can help meet the quadruple aim in healthcare: an improved patient experience, better health of the overall population, lower costs and happier providers.

Show rebroadcasts at 8:00am, 4:00pm and 12:00 am ET every weekday.

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About Dr. K

Dr. Lawrence Kosinski (@lrkosinski) is the Founder and Chief Medical Officer of SonarMD – a care coordination and drug optimization solution for gut health. After spending 30+ years of his career as a leading clinician and researcher in gastroenterology, Dr. K is now 100% dedicated to bringing patients, providers and payers together to advance value-based care. Dr. K is routinely tapped to present at leading GI and payer conferences, including DDW, GI Outlook, AHIP and others. He has published numerous research projects and previously served on the governing board of the American Gastroenterological Association.

Read Dr. K’s full bio and learn more about the SonarMD team.