Health economist
POPULARITY
There's a next generation of digital front doors being created that open up to a patient/member experience that folds in payer, provider, and employer data—plus behavioral data the patient themselves generates when they browse through content in there. Because that's what it takes for a so-called personalized experience or patient journey to ensue. This is what I'm talking about in this healthcare podcast with Kristin Begley, PharmD. In an ideal world, you'd have, for example, a member/patient/customer who goes to their doctor and is handed a tablet to fill out an intake form. When they hit submit, they get access to a digital front door that leads to a vast Web portal inhabited by the doctor as well as the patient's payer and their employer. This personalized Web portal then knows this patient has asthma and is nonadherent to their maintenance medication and is using their rescue med a lot, because it's in the payer PBM (pharmacy benefit manager) data. The portal also knows the patient is searching a lot on content like what to do when you have a terrible asthma attack. Further, the portal knows that the patient's current doctor visit, the one where they're filling out the intake form, is about a respiratory chief complaint, because it's in the doctor data and also on that intake form, which, by the way, was immediately uploaded with structured insights available to all parties sharing the portal data. Now, everybody who needs to know knows this patient is at obvious rising risk. What can happen now? Lots of things. Because the portal knows what's included in the patient's benefit plan, there can be a proactive reach-out to get that patient into an available whole longitudinal program before they wind up in the ER. Maybe that's a point solution. Maybe that's a high-quality doctor offering a bundle. Which leads me to the whole value-based care part of this. Front doors are not only for patients to get steered to the best provider—maybe one with a value-based arrangement—but also, in a way, a front door for providers and payers to work together. A portal can be the “hub,” if you will, the shared neutral interoperable space for all the parties who need to share space for their value-based arrangement to work out. In fact, some of these portals are taking on risk themselves. Like, you guys all use our portal for your value-based arrangements, and we'll guarantee this level of performance in those arrangements. Portals sharing risk and taking upside becomes even more relevant when the portal comes with its own network of existing provider users, for example—provider users who want to be paid for value and also with EHR (electronic health record) data and direct access and influence over patient care. It's the old network effect. But besides helping make sure the patient gets the right care at the right time, digital front doors also have the potential to ease patient administrative burden. While there's lots of well-placed attention on affordability, patient administrative burden means delayed or foregone care. That's as per a new study by Michael Anne Kyle, PhD, and Austin Frakt, PhD. Kristin Begley is chief commercial officer at Wildflower Health right now, but she started out as a pharmacist before she defected to the business world. She has spent time in the pharmacy space with big companies and small companies before transitioning into the value-based, risk-based world. She's now at Wildflower leading sales and account management, and she knows a whole lot about digital front doors. You can learn more at wildflowerhealth.com. Kristin Begley, PharmD, is a proven leader in the healthcare space with 20 years of experience in health information technology and the pharmaceutical supply chain, focusing on innovative solutions and software. She currently serves as the chief commercial officer of Wildflower Health, a modular digital-enablement care company that activates women and their families within the healthcare ecosystem. Wildflower's software, hardware, and humanware amplify and personalize available resources to women, breaking down silos of care between payers and clinicians while fueling the shift from fee-for-service to value-based care. Wildflower supports the whole person by helping clinicians address both clinical and social determinants of health needs and empowering women to confidently navigate and access care for the family. Kristin is a founding member of All Tru Health, a consulting organization dedicated to improving quality and lowering healthcare costs for Americans, with an emphasis on emerging technology and high-value clinical care. She also served as the chief commercial officer at EmpiRx Health, a pharmacy care manager with a model rooted in payer alignment through at-risk management and concierge service. Prior to that, Kristin was the chief pharmacy officer of Truveris, a healthcare technology company that sheds light on the inner workings of the pharmaceutical supply chain, serving all segments, including consumers. She also led Hewitt's national pharmacy practice, where she managed Rx benefit strategy for Fortune 500 employers. Kristin holds a doctor of pharmacy degree from Samford University. 04:20 What do we mean by “digital front door” in healthcare? 05:27 “In healthcare, the next generation of digital front door is connecting all those stakeholders that try to help patients stay healthier.” 06:20 “What we're trying to migrate to is … walk into any front door.” 07:24 Why is engagement the hardest part? 10:24 “Are they digital providers … or are they healthcare providers?” 12:25 “When we live in a capitalistic healthcare system, we all have a price tag on our head.” 14:01 “How will providers and payers ever be successful in value-based care if we don't have activated, educated, motivated patients?” 16:36 “I don't know how … we succeed in value-based care without having … personalized content for everyone.” 18:24 “What does a consumer want?” 26:52 How does Wildflower Health achieve their value-based care network effect? 29:54 What do stakeholders want relative to value-based care? You can learn more at wildflowerhealth.com. Kristin Begley of @wildflowerhlth discusses #digitalhealth and #vbc on our #healthcarepodcast. #healthcare #podcast #valuebasedcare What do we mean by “digital front door” in healthcare? Kristin Begley of @wildflowerhlth discusses #digitalhealth and #vbc on our #healthcarepodcast. #healthcare #podcast #valuebasedcare “In healthcare, the next generation of digital front door is connecting all those stakeholders that try to help patients stay healthier.” Kristin Begley of @wildflowerhlth discusses #digitalhealth and #vbc on our #healthcarepodcast. #healthcare #podcast #valuebasedcare “What we're trying to migrate to is … walk into any front door.” Kristin Begley of @wildflowerhlth discusses #digitalhealth and #vbc on our #healthcarepodcast. #healthcare #podcast #valuebasedcare Why is engagement the hardest part? Kristin Begley of @wildflowerhlth discusses #digitalhealth and #vbc on our #healthcarepodcast. #healthcare #podcast #valuebasedcare “Are they digital providers … or are they healthcare providers?” Kristin Begley of @wildflowerhlth discusses #digitalhealth and #vbc on our #healthcarepodcast. #healthcare #podcast #valuebasedcare “When we live in a capitalistic healthcare system, we all have a price tag on our head.” Kristin Begley of @wildflowerhlth discusses #digitalhealth and #vbc on our #healthcarepodcast. #healthcare #podcast #valuebasedcare “How will providers and payers ever be successful in value-based care if we don't have activated, educated, motivated patients?” Kristin Begley of @wildflowerhlth discusses #digitalhealth and #vbc on our #healthcarepodcast. #healthcare #podcast #valuebasedcare “I don't know how … we succeed in value-based care without having … personalized content for everyone.” Kristin Begley of @wildflowerhlth discusses #digitalhealth and #vbc on our #healthcarepodcast. #healthcare #podcast #valuebasedcare “What does a consumer want?” Kristin Begley of @wildflowerhlth discusses #digitalhealth and #vbc on our #healthcarepodcast. #healthcare #podcast #valuebasedcare What do stakeholders want relative to value-based care? Kristin Begley of @wildflowerhlth discusses #digitalhealth and #vbc on our #healthcarepodcast. #healthcare #podcast #valuebasedcare Recent past interviews: Click a guest's name for their latest RHV episode! David Contorno (AEE17), David Contorno (EP339), Nikki King, Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy, Lee Lewis, Dr Arshad Rahim, Dr Monica Lypson, Dr Rich Klasco, Dr David Carmouche (AEE15), Christian Milaster, Dr Grace Terrell, Troy Larsgard
First I called a whole bunch of listeners to the podcast to see how they were navigating this nightmare then I welcomed my featured guest Dr Austin Frakt. I learned of Austin's work through my friend Dr Aaron Carroll. Austin and Aaron joined forces and brains to create a health care blog together. It got so big they were both invited to contribute to the NY Times. Austin is now the Director of the Partnered Evidence-based Policy Resource Center (PEPReC) at the Boston VA Healthcare System, U.S. Department of Veterans Affairs. He is also an Associate Professor with the Department of Health Law, Policy and Management at Boston University’s School of Public Health. In addition, he is an Adjunct Associate Professor with the Department of Health Policy and Management at the Harvard T.H. Chan School of Public Health. Here is Austin's latest at the times Austin is great on twitter @afrakt Here is the blog The Incidental Economist
https://accadandkoka.com/wp-content/uploads/2019/01/koka-e1547335411571.jpg ()Anish Koka, MD We have become highly sensitized to the question of conflict of interest in healthcare—and rightly so. But the dominant narrative seems to be one-sided: doctors and scientists getting personally paid by industry sponsors and letting those payments color their judgment, consciously or unconsciously. Personal financial conflict of interest is certainly an important and pervasive problem, but there are many aspects of COI that get less attention and may be equally harmful to society at large. To discuss this topic, our own Anish Koka engages Michel Accad in a lively discussion that tries to probe the topic in depth, even when such probing reveals uncomfortable truths. GUEST: Anish Koka, MD. https://twitter.com/Anish_Koka (Twitter) LINKS: Anish Koka. https://accadandkoka.com/blog/commissioning-healthcare-policy-price-tag-hospital-readmission-reduction-program/ (Commissioning Health Policy: Hospital Readmission and Its Price Tag) Michel Accad. http://alertandoriented.com/the-institute-of-medicine-and-the-doctrine-of-perpetual-conflict/ (The Institute of Medicine and the Doctrine of Perpetual Conflict) Michel Accad. http://alertandoriented.com/austin-frakts-conflict-of-interest-disclosure/ (Austin Frakt’s Conflict of Interest Disclosure) Michel Accad. http://alertandoriented.com/coi-and-empirical-fundamentalism/ (COI and empirical fundamentalism) WATCH ON YOUTUBE: https://youtu.be/X8HwJLtqqmk (Watch the episode) on our YouTube channel Support this podcast
For the past year, Sen. Bill Cassidy has played a pivotal role in Republicans’ health care strategy. The doctor-turned-lawmaker helped craft the Graham-Cassidy proposal to repeal the Affordable Care Act, sparking outrage from public health groups (and a certain talk show host) who warned that the legislation would lead to millions more people being uninsured. Now Cassidy’s out with a new package of ideas that the Louisiana Republican argues will “make health care affordable again.” The wide-ranging blueprint includes pushing price transparency, studying racial disparities and resurrecting the stalled bill to prop up the Affordable Care Act’s individual insurance market. Cassidy joined POLITICO’s Dan Diamond to discuss the reception to his new proposals (starts at the 1:40 mark), why he wants more Americans to use health savings accounts (3:30), why Cassidy is betting big on price transparency (5:30), the fight over the ACA’s high premiums and Democrats’ concerns about short-term health plans (10:30), his criticism of monopolies in health care (16:45), why Cassidy wants HHS to investigate social determinants of health (19:45) and how he’s blasting a “rigged” health system (21:45). After the break, Cassidy discussed whether there should be another ACA repeal vote this year (25:40), what he and the GOP learned from last year’s health care fights (27:45) and his feud with Jimmy Kimmel and public health groups (31:00). Then in the recurring “Steal My Job” segment, Cassidy discussed his decision to leave medicine to get into politics and who’s influenced his thinking about health care (36:20). We'd appreciate your help: Please share PULSE CHECK and rate us on your favorite podcast app! Have questions, suggestions or feedback? Email ddiamond@politico.com. MENTIONED ON THE SHOW Bill Cassidy’s new plan: “Ideas to Make Health Care Affordable Again.” https://www.cassidy.senate.gov/imo/media/doc/Dr%20Bill%20Cassidy%20-%20Make%20Health%20Care%20Affordable%20Again.pdf Hospitals have reported a rise in bad debt as patients increasingly shift to high-deductible health plans. https://www.hfma.org/Content.aspx?id=50653 Cassidy referenced a CalPERS initiative to use reference pricing to lower prices of many procedures, which Austin Frakt wrote about at the New York Times. https://www.nytimes.com/2016/08/09/upshot/how-common-procedures-got-20-percent-cheaper-for-many-californians.html However, a 2017 Health Affairs study concluded that CalPERS’ price transparency tool didn’t reduce patients’ spending. https://www.healthaffairs.org/doi/10.1377/hlthaff.2016.1636 The health insurance lobby criticized the Trump administration's push on short-term health plans. https://www.ahip.org/ahip-responds-to-administrations-proposed-rule-on-short-term-health-plans/ Industry expert John Gorman appeared on POLITICO's podcast last month, where he said that short-term plans would be "junk" insurance. https://simplecast.com/s/2d8d7d17 Dan’s 2017 story: “Kimmel, not Cassidy, is right on health care, analysts say.” https://www.politico.com/story/2017/09/20/jimmy-kimmel-bill-cassidy-obamacare-repeal-242932
Aaron Carroll is making a play to be America’s doctor, or at least the physician we need to bust medical myths. The pediatrician from Indianapolis is a best-selling author of medical advice books, a featured writer in the New York Times, and even a YouTube celebrity, with more than 250,000 subscribers to his channel. So how did he do it? In a bonus episode of PULSE CHECK, Aaron joins POLITICO’s Dan Diamond to discuss his path from blogger to New York Times contributor (Starts at the 1:35 mark), his critical analysis of Medicare-for-all proposals (11:20), his view as an Indiana-based doctor of that state’s health reforms, led by Mike Pence and Seema Verma (15:50), why Congress is failing on CHIP and what policies they should pursue (20:35), Aaron’s mythbusting on what you should, and shouldn’t eat(23:00) and more. We’d appreciate your help: Please share PULSE CHECK and rate us on your favorite podcast app! Have questions, suggestions or feedback? Email ddiamond@politico.com or tweet him @ddiamond. Stories and podcasts referenced on the podcast: PULSE CHECK’s interview with Austin Frakt, Aaron’s writing partner: https://soundcloud.com/politico-pulsecheck/news-roundup-and-austin-frakt Aaron and Austin’s New York Times interactive tournament of the best health care systems in the world: https://www.nytimes.com/interactive/2017/09/18/upshot/best-health-care-system-country-bracket.html?_r=0 Aaron discussing his new book, THE BAD FOOD BIBLE: HOW AND WHY TO EAT SINFULLY: https://theincidentaleconomist.com/wordpress/healthcare-triage-the-bad-food-bible/
There's a lot of fuss around the House GOP's health care plan — but how real is it? POLITICO's Paul Demko talks with Dan Diamond about Republicans' latest push and whether there's any "there" there. (Starts at the 1:30 mark.) Then after the break, Austin Frakt — a well-known health care economist, blogger and New York Times "Upshot" contributor — joins PULSE CHECK to discuss the state of health care research and how to build a career in the public eye (starts at the 14:10 mark.) We’d appreciate your help: Please share PULSE CHECK and rate us on your favorite podcast app! Have questions, suggestions or feedback? Email ddiamond@politico.com. Note: Dan is headed off on a reporting project, but Jason Millman will guest host on PULSE CHECK next week.
In fall 2015, The American Journal of Managed Care convened a panel of experts to discuss healthcare reform in the United States. In these segments, panelists Leah Binder, president and CEO of The Leapfrog Group; Austin Frakt, PhD, an associate professor at the Boston University School of Public Health and School of Medicine and a health economist at the Department of Veterans Affairs; Margaret E. O'Kane, MHA, president of the National Committee for Quality Assurance; and Matt Salo, executive director of the National Association of Medicaid Directors, discussed a number of topics, including Medicaid expansion, drug prices, managing specialty populations, and more. Watch the video series here: http://www.ajmc.com/peer-exchange/healthcare-reform-stakeholders-summit-fall-2015
Scienceline explores non-pharmaceutical ways for insomnia sufferers to get a better night sleep This podcast pilot will reviews various sleep-help methods for folks suffering from insomniacs. While many insomnia sufferers resort to drugs, intentioned changes to behavior or listening to music while trying to fall asleep might help, too. I talk to Austin Frakt, an insomnia sufferer and blogger for The Incidental Economist, Kira Vibe Jespersen at Aarhus University in Denmark, and John Watson who runs the Sleep Radio service in New Zealand. Sleep easy! Produced by Ryan F. Mandelbaum [Image Credit: Wellcome Library, London | CC BY 4.0]
Austin Frakt of Boston University and blogger at The Incidental Economist talks with EconTalk host Russ Roberts about Medicaid and the recent results released from the Oregon Medicaid study, a randomized experiment that looked at individuals with and without access to Medicaid. Recent released results from that study found no significant impact of Medicaid access on basic health measures such as blood pressure and cholesterol levels, but did find reduced financial stress and better mental health. Frakt gives his interpretation of those results and the implications for the Affordable Care Act. The conversation closes with a discussion of the reliability of empirical work in general and how it might or might not affect our positions on social and economic policy.
Austin Frakt of Boston University and blogger at The Incidental Economist talks with EconTalk host Russ Roberts about Medicaid and the recent results released from the Oregon Medicaid study, a randomized experiment that looked at individuals with and without access to Medicaid. Recent released results from that study found no significant impact of Medicaid access on basic health measures such as blood pressure and cholesterol levels, but did find reduced financial stress and better mental health. Frakt gives his interpretation of those results and the implications for the Affordable Care Act. The conversation closes with a discussion of the reliability of empirical work in general and how it might or might not affect our positions on social and economic policy.
Austin Frakt of Boston University and blogger at The Incidental Economist talks with EconTalk host Russ Roberts about Medicaid and the recent results released from the Oregon Medicaid study, a randomized experiment that looked at individuals with and without access to Medicaid. Recent released results from that study found no significant impact of Medicaid access on basic health measures such as blood pressure and cholesterol levels, but did find reduced financial stress and better mental health. Frakt gives his interpretation of those results and the implications for the Affordable Care Act. The conversation closes with a discussion of the reliability of empirical work in general and how it might or might not affect our positions on social and economic policy.