Episode # 117 – Direct Contracting is Much Larger than Anyone Thinks. Here’s The What, The Who and The Why it’s Inevitable and Unstoppable with your Host Ron Barshop.

In this episode Ron chats about his experiences with direct contracting and his insights into how it is a better way to do healthcare in America. He discusses how direct contracting is better for the doctors, consumer, payer and how it lowers costs for all along with is better for population health. The outcomes from those with direct care are undeniable. Direct care patients have 30%-60% less meds, stays in hospitals, ER vists, imaging, specialist visits, and procedures than non direct care patients. He also dives into how giving patients better and more convenient access to their docs changes everything.

For more information, here are the links referenced in the episode:

https://www.cms.gov/Medicare/Medicare-Contracting/ContractorLearningResources/Downloads/ja0421.pdf

https://med.noridianmedicare.com/web/jeb/topics/claim-submission/mandatory-claims-submission#:~:text=Mandatory%20Claim%20Submission,Medicare%20patients%20for%20services%20rendered.&text=Violations%20of%20the%20requirement%20may,and%2For%20Medicare%20program%20exclusion

Read the Transcript

Episode # 116 – Brand Newland Co-Founded Goldfinch Health to Bring Enhanced Recovery to Surgery – a 20-Year-Old Process with Over 4,000 Studies Being Used Only 5% of the Time. Listen to How it Works and Why it’s Critical in Avoiding Opioids, Complications, Time, and Expense.

In this episode Ron chats with Brad Newland, CEO and Co-Founder of Goldfinch Health. Here, Brad does a deep dive in to the work of Goldfinch Health and its mission to help patients better navigate surgery and recovery, saving healthcare costs, minimize opioid use, and help them return to normal life and work faster. He discusses the opioid crisis, the dangers of opioid addiction, and how opioids can often be avoided in surgery recovery altogether. He also talks about how they work with payers, insurers, employers, workers compensation, and patients to provide better outcomes at lower costs.

Brand Newland, PharmD, MBA, is the CEO and Co-founder of Goldfinch Health. Inspired by personal experiences with the pitfalls of surgery and a lack of proactive solutions to the Opioid Crisis, Brand helped to launch a vision toward a higher standard of care in surgery and recovery in 2018. Goldfinch Health optimizes the surgery and recovery experience for patients, saving companies and patients time, money, and addiction.

Brand has over 15 years of experience in bringing new healthcare solutions to payers, employers, healthcare providers, and patients. Brand joined OutcomesMTM, a pharmacy Medication Therapy Management company, as the firm’s fourth employee. He served OutcomesMTM in business development and operations leadership roles, seeing the company through rapid growth and eventually its acquisition by Cardinal Health in 2015. Brand received a Doctor of Pharmacy degree from the University of Iowa and holds a certification in pain management. He has also completed an MBA at the University of Chicago Booth School of Business.

Read the Transcript

Episode # 115 – Dr. Innocent Clement Runs Evolvd Health, a Functional Medicine Direct Care Monthly Fee Platform That’s Making a Difference in Primary Care.

In this episode Ron chats with Dr. Innocent Clement, Founder & CEO of Evolvd Health. Here he discusses his organizations whole body approach to healthcare that encompasses physical, mental, and sexual health. Innocent also does a deep dive into functional medicine and why he chose to be a functional medicine doctor. He also talks about the importance of doctors truly getting to know the whole health of their patients.

 Innocent Clement MD MPH MBA, is the CEO of Evolvd Health, a rapidly growing digital telemedicine company, where he is leading the execution of the company’s unique multi-disciplinary, whole-body 360 approach health business model. He is also a former CEO and Co-Founder of Kaia health Inc a digital therapeutic company, He led the Kaia Health initiatives here in the US, partnerships, clinical trials, regulatory submissions and expansion across North America. Innocent is a trained physician from both Columbia and Harvard University. He has also worked as a management consultant for McKinsey and Company.

Read the Transcript

 

Episode # 114 – Dr. Robert Pearl lead Kaiser Permanente’s Medical Group of 10,000 Docs to #1 Nationally in Quality and Service. Hear What One of Our Great Thought Leaders has to Say About the New Movements That are Fixing Healthcare.

In this episode, Ron chats with healthcare thought leader Dr. Robert Pearl. Here, Dr. Pearl discusses the importance of primary care and how adding 10 primary care physicians to a community increases life expectancy 2.5X more than adding 10 specialists. He discusses how his leadership helped Kaiser Permanente to evolve and become one of the nations top health systems. He also talks about his thoughts on physician culture, digital care, direct primary care, the future of American healthcare, and much more.

Dr. Robert Pearl is the former CEO of The Permanente Medical Group (1999-2017), the nation’s largest medical group, and former president of The Mid-Atlantic Permanente Medical Group (2009-2017). In these roles he led 10,000 physicians, 38,000 staff and was responsible for the nationally recognized medical care of 5 million Kaiser Permanente members on the west and east coasts.

Named one of Modern Healthcare’s 50 most influential physician leaders, Pearl is an advocate for the power of integrated, prepaid, technologically advanced and physician-led healthcare delivery.

He serves as a clinical professor of plastic surgery at Stanford University School of Medicine and is on the faculty of the Stanford Graduate School of Business, where he teaches courses on strategy and leadership, and lectures on information technology and health care policy.

He is the author of “Mistreated: Why We think We’re Getting Good Healthcare—And Why We’re Usually Wrong,” a Washington Post bestseller that offers a roadmap for transforming American healthcare. All proceeds from the book go to Doctors Without Borders. His next book, “Uncaring: How the Culture of Medicine Kills Doctors & Patients will be published spring 2021.

Dr. Pearl hosts the popular podcasts Fixing Healthcare and Coronavirus: The Truth. He publishes a newsletter with over 12,000 subscribers called Monthly Musings on American Healthcare and is a regular contributor to Forbes. He has been featured on CBS This Morning, CNBC, NPR, and in TIME, USA Today and Bloomberg News. He has published more than 100 articles in medical journals and contributed to numerous books. A frequent keynote speaker at healthcare and medical technology conferences. Pearl has addressed the Commonwealth Club, the World Healthcare Congress, the Institute for Healthcare Improvement’s National Quality Forum and the National Committee for Quality Improvement (NCQA).

Board certified in plastic and reconstructive surgery, Pearl received his medical degree from the Yale University School of Medicine, followed by a residency in plastic and reconstructive surgery at Stanford University.

From 2012 to 2017, Pearl served as chairman of the Council of Accountable Physician Practices (CAPP), which includes the nation’s largest and best multispecialty medical groups, and participated in the Bipartisan Congressional Task Force on Delivery System Reform and Health IT in Washington, D.C.

Read the Transcript

Episode # 113 – Nice Healthcare is a Venture Funded Virtual and Home Visit Primary Care Offering for Under $40/Family. Meet Co-founder and CEO, Thompson Aderinkomi.

In this episode Ron chats with Thompson Aderinkomi, Co-founder and CEO of Nice Healthcare. Here Thompson does a deep dive into the Nice model and what makes them special. He also discusses what inspired him to start the business, his organizations values and, and their commitment to patients. He talks about his goals for the future and thoughts on the future of direct primary care.

Thompson Aderinkomi is currently co-founder and CEO of Nice Healthcare a technology enabled primary care clinic that delivers all care in the comfort of the patient’s home and contracts directly with small employers. He also co-founded RetraceHealth in 2013 a direct primary care medical practice that went on to raise over $7 million. MN Governor Mark Dayton appointed Thompson to the inaugural board of directors for MNsure, the MN Health Insurance Exchange in April 2013. Finally, in 2013 Thompson co-founded Healthcare.mn the Twin Cities premier organization for healthcare entrepreneurs, which has grown to over 2,000 members. From the University of Minnesota, Thompson has earned a B.S. in Economics, an M.S. in Statistics and an MBA from the Carlson School of Management. He has been married for 16 years and has two young sons.

Read the Transcript

Episode # 112 – Dr. Zeev Neuwirth is the Chief Clinical Executive for Care Transformation & Strategic Services at Atrium Health – A Preeminent, Nationally Leading Healthcare System in the Southeast.

In this episode Ron chats with Physician Executive, Author, Podcast Host, and Speaker, Dr. Zeev Neuwirth. Here, Zeev shares insights he has gained from his research into reframing American healthcare. He talks about how he looks at the top performers and best ideas from both in and out of the healthcare industry for inspiration on how to improve the American healthcare system. Zeev explains many of the issues with fee for services and how that payment model can change the behavior of even the most moral physicians out there. He also does a deep dive into the importance of consumerism in healthcare and how focusing on that consumerism while providing better, more affordable care, with a better payment model is the way of the future.

Dr. Zeev Neuwirth is the author of “Reframing Healthcare: A Roadmap For Creating Disruptive Change” and produces and hosts the popular podcast series, “Creating a New Healthcare.” He is currently serving as Atrium Health’s Chief Clinical Executive for Care Transformation and Strategic Services.

Through his book, podcast series, speaking engagements, and executive leadership, Dr. Neuwirth is reorienting the way individuals and organizations think about healthcare, to catalyze movement towards an affordable, accessible, effective and safe healthcare system.

His ultimate goal is to humanize healthcare for those who serve within the system, and especially for those who are served by the system.

Read the Transcript

Episode # 111 – Scott Shreeve MD Founded and Leads Crossover Health and Serves Employees of Amazon, LinkedIn, and More with a Direct Primary Care Model that Includes Mental Health, Physical Medicine, and More.

In this episode Ron chats with Dr. Scott Shreeve, CEO of Crossover Health. Here, he discusses Crossover’s new care delivery model and how it can be a game changer for employers. He discusses how they integrate health and wellness benefits with tech enabled services to increase care, decrease spend, and deliver remarkable health for employees. He also dives into his surfer roots and what inspired him to go against the grain and create Crossover Health.

Scott is an Emergency Medicine physician who has been actively involved in the design, development, and distribution of life science technologies that improve the delivery of care and enhance the quality of life. He is currently serving as Chief Executive Officer of Crossover Health.

Dr. Shreeve was a co-founder of Medsphere Systems Corporation, the first open source electronic health record for the healthcare enterprise, where he led the Client Services team. He drove the fulfillment of large-scale electronic health record implementations at community hospitals, statewide health systems, and networks of primary care clinics. Dr. Shreeve is also a founding member of the Health 2.0 technology and reform movement, serving as an advisor to the conference and spokesperson throughout the country. His popular Crossover Health blog focuses on enabling technologies that transform the delivery, financing, and outcomes of high-performance health systems.

He earned his Bachelor of Science degree in Zoology, with a minor in Economics from Brigham Young University, is a graduate of the University of Utah School of Medicine, and completed his Emergency Medicine residency training at the University of Arizona Health Science Center. He lives in Southern California with his wife and four children near some of the best breaks on the West Coast.

Read the Transcript

 

Episode # 110 – With 11 Million Members Premise Health is the Dominant Leader in Direct Primary Care. Jami Doucette, it’s President, Explains Why.

This episode features Jami Doucette, President at Premise Health. Here, he discusses their approach to concierge direct primary care. He also dives into how their model keeps both providers and patients happier and healthier. Premise offers a wide variety of services that lead to a great member experience and better outcomes. Jami also shares his organizations dedication to fitness, wellness, overall health, and overall healthcare, not just sick care.

Jami Doucette serves as President at Premise Health.

Prior to joining Premise Health, Jami served as Leader for Paladina Health (a DaVita subsidiary). Prior to Paladina, Doucette was CEO and founder of ModernMed, a health services company providing concierge direct primary care through employer-based, onsite and nearsite health centers as well as 24/7 virtual access to members’ personal physicians. ModernMed was acquired by DaVita in 2012. He began his career in investment banking and angel investing, primarily focused on the healthcare and technology sectors.

Jami earned his MD and MBA in Health Management from Tufts University School of Medicine in a combined degree program. He also earned undergraduate degrees in Biology and Economics with honors from Duke University and is an active member of Young Presidents’ Organization (YPO).

Read the Transcript

Episode # 109 – Meet Dan Corliss, Part of the New Breed of Benefits Advisors Reducing Employers Costs by Up To 40%.

This episode features Daniel Corliss, Chief Executive at Business Stimulus Partners, LLC. Here, he discusses how his firm works with different organizations to move to self-funded health plans and cut their health spend significantly. He also talks about how important it is for him to be able to offer the best solutions possible and how he addresses people that think his company’s offerings are too good to be true. He can truly help organizations save between 10 and 40%.

Daniel Corliss is an employee benefits and healthcare professional of more than 10 years.  Daniel specializes in self-funded health and benefit planning advising for fellow brokers and agencies and operates his core advisory firm DC Advisory, LLC as well as a plan risk management agency, Business Stimulus Partners, LLC along with his three other health plan consultant partners.  BSP, LLC specializes in transitioning fully insured health plans to self-funded plan environments where cost and risk can be managed sustainably and ethically.

Read the Transcript

Episode # 108 – Dr. Arup Roy-Burman is a Pediatric Physician and an Associate Clinical Professor of Pediatrics at UCSF. Arup is the Founder and CEO of Elemeno Health, a Mobile Platform that Helps Healthcare Organizations Engage Frontline Staff to Deliver Consistent Best Practices, and to Bring Quality, Safety, and Efficiency to the Point of Care.

This episode features Arup Roy-Burman, Co-Founder & CEO of Elemeno Health. Here, he discusses his journey and what lead him to focus on quality, safety, and consistency in healthcare. He dives into how his platform acts as on demand, training and communication for the point of care. They convert content into what they call micro learning, bite sized nuggets. That may be video, it could be a series of pictures. It could be an interactive decision guide, or little bite-sized text. Information that can be consumed the moment it is needed. He also talks about the future of the company and how he sees impacting the future of healthcare.

Dr. Arup Roy-Burman is Co-Founder & CEO of Elemeno Health, a mobile-friendly on-demand training and communication platform that helps frontline healthcare teams deliver consistent best practices, improving quality, safety, and outcomes. Prior to founding Elemeno Health, Dr. Roy-Burman was Medical Director of the Intensive Care Unit and Director of Transport, Access and Outreach for UCSF Benioff Children’s Hospital. He is a long-term leader in efforts to improve outcomes in the inpatient setting, with focus on interprofessional workforce engagement and standardization of best practices.

Read The Transcript