Podcasts about brantes

Here's my new idea for an episode. Welcome to it. I want to talk about a major theme running through the last few episodes of Relentless Health Value. And this theme is, heads up, going to continue through a few upcoming shows as well. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. We have Matt McQuide coming up, talking about patient engagement, and Christine Hale, MD, MBA, talking about high-cost claimants. And we also have an encore coming up with Kenny Cole, MD, talking about a lot of things; but patient trust is one of them. But before I get to the main theme to ponder here, let me talk about what gets selected to talk about on Relentless Health Value. I will freely admit, how topics for shows get picked, it's not exactly a linear sort of affair. And furthermore, even if it were, I can't always get the stars to align to get a specific cluster of guests to all come on like one after the other. So, for sure, it might be less than obvious at times where my head is at—and sometimes, admittedly, I don't even know. This may sound incredibly scattershot (and it probably is), but in my defense, this whole healthcare thing, in case you didn't know, it's really complicated. Every time I get a chance to chat with an expert, I learn something new. I feel like it's almost impossible to sit in a vacuum and mastermind some kind of grand insight. Very, very fortunately, I don't need to sit in a cave and do all this heavy thinking all by myself. We got ourselves a tribe here of like-minded, really smart folks between the guests and you lot, all of you in the tribe of listeners who are here every week. Yeah, you rock! And I can always count on you to start teasing out the themes and the through lines and the really key actionable points. You email me. You write great posts and comments on LinkedIn and elsewhere. Even if I am a little bit behind the eight ball translating my instinct into an actual trend line, it doesn't slow this bus down. It's you who keeps it moving, which is why I can confidently say it's you all who are to blame for this new idea I came up with the other day after the podcast with Al Lewis (EP464) triggered so much amazing and really deep insight and dot connecting back and forth that hooked together the past six, I'm gonna say, or so shows. Let's just start at the beginning. Let's start with the topics that have been discussed in the past several episodes of the pod. Here I go. Emergency room visits are now costing about 6% of total plan sponsor spend on average. That was the holy crap moment from the episode with Al Lewis (EP464). Emergency room volume is up, and also prices are up. In that show with Al Lewis, I did quote John Lee, MD, who is an emergency room doctor, by the way. I quoted him because he told a story about a patient who came into the ER, winds up getting a big workup in his ER. Dr. Lee says he sees this situation a lot where the patient comes in, they've had something going on for a while, they've tried to make an appointment with their PCP or even urgent care, they could not get in. It's also really hard to coordinate and get all the blood work or the scans and have that all looked at that's needed for the workup to even happen. I've spoken with multiple ER doctors at this point, and they all say pretty much the same thing. They see the same scenario happen often enough, maybe even multiple times a day. Patient comes in with something that may or may not be emergent, and they are now in the ER because they've been worried about it for weeks or months. And the ER is like the only place where they can get to the bottom of what is going on with their body. And then the patient, you know, they spend the whole day in the ER getting what amounts to weeks' worth of outpatient workup accomplished and scans and imaging and labs. And there's no prior authing anything down. It's also incredibly expensive. Moving on from the Al Lewis show, earlier than that I had had on Rushika Fernandopulle, MD (EP460) and then also Scott Conard, MD (EP462). Both are PCPs, both talking about primary care and what makes good primary care and what makes bad primary care and how our current “healthcare marketplace,” as Dr. Conard puts it, incentivizes either no primary care and/or primary care where volume driven throughput is the name of the game—you know, like seeing 25 patients a day. These visits or episodes of care are often pretty transactional. If relationships are formed, it's because the doctor and/or the patient are rising above the system, not the other way around. And none of that is good for primary care doctors, nurses, or other clinicians. It's also not good for patients, and it's not good for plan sponsors or any of the ultimate purchasers here (taxpayers, patients themselves) because while all of this is going on, those patients getting no or not good primary care are somebody's next high-cost claimant. Okay, so those were the shows with Rushika Fernandopulle and Scott Conard. Then this past week was the show with Vivian Ho, PhD (EP466), who discusses the incentives that hospital leadership often has. And these incentives may actually sound great on paper, but IRL, they wind up actually jacking up prices and set up some weird incentives to increase the number of beds and the heads in them. There was also two shows, one of them with Betsy Seals (EP463) and then another one with Wendell Potter (EP384), about Medicare Advantage and what payers are up to. Alright, so let's dig in. What's the big theme? What's the big through line here? Let's take it from the top. Theme 1 is largely this (and Scott Conard actually said this flat out in his show): Primary care—good primary care, I mean—is an investment. Everything else is a cost. And those skyrocketing ER costs are pure evidence of this. Again, listen to that show with Al Lewis earlier (EP464) for a lot of details about this. But total plan costs … 6% are ER visits. Tim Denman from Premise Health wrote, “That is an insane number! Anything over 2% warrants concern.” But yeah, these days we have, on average across the country, 200 plan members out of 1000 every single year dipping into their local ER. That number, by the way, will rise and fall depending on the access and availability of primary care and/or good urgent cares. Here's from a Web site entitled ER Visit Statistics, Facts & Trends: “In the United States, emergency room visits often highlight gaps in healthcare accessibility. Many individuals turn to ERs for conditions that could have been managed through preventative or primary care. … This indicates that inadequate access to healthcare often leads to increased reliance on emergency departments. … “ED visits can entail significant costs, particularly when a considerable portion of these visits is classified as non-urgent. … [Non-urgent] visits—not requiring immediate medical intervention—often lead to unnecessary expenditures that could be better allocated in primary care settings.” And by the way, if you look at the total cost across the country of ER visits, it's billions and billions and billions of dollars. In 2017, ED visits (I don't have a stat right in front of me), but in 2017, ED visits were $76.3 billion in the United States. Alright, so, the Al Lewis show comes out, I see that, and then, like a bolt of lightning, François de Brantes, MBA, enters the chat. François de Brantes was on Relentless Health Value several years ago (EP220). I should have him come back on. But François de Brantes cemented with mortar the connectivity between runaway ER costs and the lack of primary care. He started out talking actually about a new study from the Milbank Memorial Fund. Only like 5% of our spend going to primary care is way lower than any other developed country in the world—all of whom, of course, have far higher life expectancies than us. So, yeah … they might be onto something. François de Brantes wrote (with some light editing), “Setting aside the impotence of policies, the real question we should ask ourselves is whether we're looking at the right numbers. The short answer is no, with all due respect to the researchers that crunched the numbers. That's probably because the lens they're using is incredibly narrow and misses everything else.” And he's talking now about, is that 5% primary care number actually accurate? François de Brantes continues, “Consider, for example, that in commercially insured plans, the total spend on … EDs is 6% or more.” And then he says, “Check out Stacey Richter's podcast on the subject, but 6% is essentially what researchers say is spent on, you know, ‘primary care.' Except … they don't count those costs, the ER costs. They don't count many other costs that are for primary care, meaning for the treatment of routine preventative and sick care, all the things that family practices used to manage but don't anymore. They don't count them because those services are rendered by clinicians other than those in primary care practice.” François concludes (and he wrote a great article) that if you add up all the dollars that are spent on things that amount to primary care but just didn't happen in a primary care office, it's conservatively around 17% of total dollars. So, yeah … it's not like anyone is saving money by not making sure that every plan member or patient across the country has a relationship with an actual primary care team—you know, a doctor or a nurse who they can get on the phone with who knows them. Listen to the show coming up with Matt McQuide. This theme will continue. But any plan not making sure that primary care happens in primary care offices is shelling out for the most expensive primary care money can buy, you know, because it's gonna happen either in the ER or elsewhere. Jeff Charles Goldsmith, PhD, put this really well. He wrote, “As others have said, [this surge in ER dollars is a] direct consequence of [a] worsening primary care shortage.” Then Dr. John Lee turned up. He, I had quoted on the Al Lewis show, but he wrote a great post on LinkedIn; and part of it was this: “Toward a systemic solution, [we gotta do some unsqueezing of the balloon]. Stacey and Al likened our system to a squeezed balloon, with pressure forcing patients into the [emergency room]. The true solution is to ‘unsqueeze' the system by improving access to care outside the [emergency room]. Addressing these upstream issues could prevent patients from ending up in the [emergency room]. … While the necessary changes are staring us in the face, unsqueezing the balloon is far more challenging than it sounds.” And speaking of ER docs weighing in, then we had Mick Connors, MD, who left a banger of a comment with a bunch of suggestions to untangle some of these challenges that are more challenging than they may sound at first glance that Dr. Lee mentions. And as I said, he's a 30-year pediatric emergency physician, so I'm inclined to take his suggestions seriously. You can find them on LinkedIn. But yeah, I can see why some communities are paying 40 bucks a month or something for patients without access to primary care to get it just like they pay fire departments or police departments. Here's a link to Primary Care for All Americans, who are trying to help local communities get their citizens primary care. And Dr. Conard talked about this a little bit in that episode (EP462). I can also see why plan sponsors have every incentive to change the incentives such that primary care teams can be all in on doing what they do. Dr. Fernandopulle (EP460) hits on this. This is truly vital, making sure that the incentives are right, because we can't forget, as Rob Andrews has said repeatedly, organizations do what you pay them to do. And unless a plan sponsor gets into the mix, it is super rare to encounter anybody paying anybody for amazing primary care in an actual primary care setting. At that point, Alex Sommers, MD, ABEM, DipABLM, arrived on the scene; and he wrote (again with light editing—sorry, I can't read), “This one is in my wheelhouse. There is a ton that could be done here. There just has to be strategy in any given market. It's a function of access, resources, and like-minded employers willing to invest in a direct relationship with providers. But not just any providers. Providers who are willing to solve a big X in this case. You certainly don't need a trauma team on standby to remove a splinter or take off a wart. A great advanced primary care relationship is one way, but another thing is just access to care off-hours with the resources to make a difference in a cost-plus model. You can't help everybody at once. But you can help a lot of people if there is a collaborative opportunity.” And then Dr. Alex Sommers continues. He says, “We already have EKG, most procedures and supplies, X-ray, ultrasounds, and MRI in our clinics. All that's missing is a CT scanner. It just takes a feasible critical mass to invest in a given geography for that type of alternative care model to alter the course here. Six percent of plan spend going to the ER. My goodness.” So, then we have Ann Lewandowski, who just gets to the heart of the matter and the rate critical for primary care to become the investment that it could be: trust. Ann Lewandowski says, “I 100% agree with all of this, basically. I think strong primary care that promotes trust before things get so bad people think they need to go to the emergency room is the way to go.” This whole human concept of trust is a gigantic requirement for clinical and probably financial success. We need primary care to be an investment, but for it to be an investment, there's got to be relationships and there has to be trust between patients and their care teams. Now, neither relationships nor trust are super measurable constructs, so it's really easy for some finance pro to do things in the name of efficiency or optimization that undermine the entire spirit of the endeavor without even realizing it. Then we have a lot of primary care that doesn't happen in primary care offices. It happens in care settings like the ER. So, let's tug this theme along to the shows that concern carriers, meaning the shows with Wendell Potter (EP384) on how shareholders influence carrier behavior and with Betsy Seals (EP463) on Medicare Advantage plans and what they're up to. Here's where the primary care/ER through line starts to connect to carriers. Here's a LinkedIn post by the indomitable Steve Schutzer, MD. Dr. Schutzer wrote about the Betsy Seals conversation, and he said, “Stacey, you made a comment during this fabulous episode with Betsy that I really believe should be amplified from North to South, coast to coast—something that unfortunately is not top of mind for many in this industry. And that was ‘focus on the value that accrues to the patient'—period, end of story. That is the north star of the [value-based care] movement, lest we forget. Financial outcome measures are important in the value equation, but the numerator must be about the patient. As always, grateful for your insights and ongoing leadership.” Oh, thank you so much. And same to you. Grateful for yours. Betsy Seals in that podcast, though, she reminded carrier listeners about this “think about the value accruing to the patient” in that episode. And in the Wendell Potter encore that came out right before the show with Betsy, yeah, what Wendell said kind of made me realize why Betsy felt it important to remind carriers to think about the value accruing to patients. Wall Street rewards profit maximization in the short term. It does not reward value accruing to the patient. However—and here's me agreeing with Dr. Steve Schutzer, because I think this is what underlies his comment—if what we're doing gets so far removed from what is of value to the patient, then yeah, we're getting so removed from the human beings we're allegedly serving, that smart people can make smart decisions in theoretical model world. But what's being done lacks a fundamental grounding in actual reality. And that's dangerous for plan members, but it's also pretty treacherous from a business and legal perspective, as I think we're seeing here. Okay, so back to our theme of broken primary care and accelerating ER costs. Are carriers getting in there and putting a stop to it? I mean, as aforementioned about 8 to 10 times, if you have a broken primary care system, you're gonna pay for primary care, alright. It's just gonna be in really expensive care settings. You gotta figure carriers are wise to this and they're the ones that are supposed to be keeping healthcare costs under control for all America. Well, relative to keeping ER costs under control, here's a link to a study Vivian Ho, PhD, sent from Health Affairs showing how much ER prices have gone up. ER prices are way higher than they used to be. So, you'd think that carriers would have a huge incentive to get members primary care and do lots and lots of things to ensure that not only would members have access to primary care, but it'd be amazing primary care with doctors and nurses that were trusted and relationships that would be built. It'd be salad days for value. Except … they're not doing a whole lot at any scale that I could find. We have Iora and ChenMed and a few others aside. These are advanced primary care groups that are deployed by carriers, and these organizations can do great things. But I also think they serve—and this came up in the Dr. Fernandopulle show (EP460)—they serve like 1% of overall patient populations. Dr. Fernandopulle talked about this in the context of why these advanced primary care disruptors may have great impact on individual patients but they have very little overall impact at a national scale. They're just not scaled, and they're not nationwide. But why not? I mean, why aren't carriers all over this stuff? Well, first of all—and again, kind of like back to the Wendell show (EP384) now—if we're thinking short term, as a carrier, like Wall Street encourages, you know, quarter by quarter, and if only the outlier, mission-driven folks (the knights) in any given carrier organization are checking what's going on actually with plans, members, and patients like Betsy advised, keep in mind it's a whole lot cheaper and it's easier to just deny care. And you can do that at scale if you get yourself an AI engine and press Go. Or you can come up with, I don't know, exciting new ways to maximize your risk adjustment and upcoding. There's an article that was written by Sergei Polevikov, ABD, MBA, MS, MA

Dans le troisième et dernier volet de cette série consacrée à l'histoire de Lesage, découvrez comment, il y a plus de trente ans, la Maison s'est ouverte aux arts décoratifs et à l'ameublement en créant le département Lesage intérieurs à Paris et l'atelier Vastrakala à Chennai, en Inde. Ce voyage dans le temps s'arrête également en 2011, année marquante où s'opère la passation entre François Lesage et Hubert Barrère, actuel directeur artistique de la Maison. Enfin, cet épisode vous dévoile comment Lesage explore sans cesse de nouveaux horizons créatifs, notamment à travers des collaborations avec des artistes contemporains, pour réinventer la broderie et envisager les 100 prochaines années de créativité et d'excellence. Un podcast produit par Géraldine Sarratia dans le cadre de l'exposition « Lesage, 100 ans de mode et de décoration » à la Galerie du 19M, du 26 septembre au 26 janvier 2025.Avec : Aristide Barraud, artiste ; Hubert Barrère, directeur artistique de Lesage ; Victoire de Brantes, designeuse ; Dominique Dufour, brodeuse et échantillonneuse chez Lesage, Meilleur Ouvrier de France ; Emilie Hammen, chercheuse, directrice de la Chaire CHANEL et le19M des savoir-faire de la mode à l'IFM ; Jean-François Lesage, directeur artistique de Lesage intérieurs ; Bruno Pavlovsky, président de CHANEL SAS et du 19M ; Malavika Shivakumar, co-fondatrice de l'atelier d'excellence Vastrakala et Jeanne Vicérial, artiste.

Host Dr. Lawrence Kosinski sits down with Francois de Brantes, senior partner of High Value Care Incentives Advisory Group. The two talk about episodes of care for chronic disease. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio.” Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

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

Francois de Brantes is a pioneer in measuring and improving healthcare outcomes. Francois began his career at GE Healthcare which provided him with a solid background in measuring what matters. While at GE, Francois helped create The Leapfrog Group focused on improving quality and safety. From there, Francois spent almost 11 years as the Executive Director of the Healthcare Incentives Improvement Institute before moving to Altarum and now Signify where he continues his focus on payment innovation. On this episode you'll hear Francois' perspective on value-based payment models and what we might expect to see moving forward.  Show notes: To Err is Human: Building A Safer Health System by Institute of Medicine and Committee on Quality of Health Care in America and Crossing The Quality Chasm: A New Health System For The 21st Century by Institute of Medicine and Committee On Quality of Health Care in America

Guest host, Josh Schlaich, Senior Director of Product Marketing at Signify Health is joined by his colleague Francois de Brantes, Senior Vice President of Episodes of Care. During this podcast, they discuss value-based payments and the benefits for patients, providers, and payers through the bundling of payments for episodes of care. They also talk about Signify Health's experience with episode-based payments in BPCI-A. Tune in as they share the most successful elements of episode-based program design. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Simone Brantes nasceu em Nova Friburgo-RJ. É autora de três livros de poemas:Pastilhas brancas (1999),O caminho de Suam (2002) eQuase todas as noites (2016), que recebeu em 2017 o Prêmio Jabuti. Publicou poemas em vários jornais e revistas e participou de várias antologias, como as recém-publicadas Simultâneos pulsando – uma antologia da poesia fescenina brasileira e O nervo do Poema. A fotografia que estampa o post é de Caio Meira. ►► Apoie pequenas editoras. Compre livros de autores independentes! https://loja.tomaaiumpoema.com.br/ _________________________________ Simone Brantes — As Moças Como duas moças se encontram pelas moitas? Como entram duas vulvas sob a colcha? como sem mergulho marulham no fundo os líquidos de uma na outra? Como, como – por que poder de Deus – as moças se comem se comem se comem com as coxas? _________________________________ Use #tomaaiumpoema Siga @tomaaiumpoema Poema: As Moças Poeta: Simone Brantes Voz: Neusa Doretto Apoio: Afetiva Rede de Culturas https://tomaaiumpoema.com.br ATENÇÃO Somos um projeto social. Todo valor arrecadado é investido na literatura. FAÇA UM PIX DE QUALQUER VALOR CNPJ 33.066.546/0001-02 ou tomaaiumpoema@gmail.com Até mesmo um real ajuda a poesia a se manter viva! #poesia | #poemas | #podcast

Simone Brantes nasceu em Nova Friburgo-RJ. É autora de três livros de poemas: Pastilhas brancas (1999), O caminho de Suam (2002) e Quase todas as noites (2016), que recebeu em 2017 o Prêmio Jabuti. Publicou poemas em vários jornais e revistas e participou de várias antologias, como as recém-publicadas Simultâneos pulsando – uma antologia da poesia fescenina brasileira e O nervo do Poema. A fotografia que estampa o post é de Caio Meira. ►► Apoie pequenas editoras. Compre livros de autores independentes! https://loja.tomaaiumpoema.com.br/ _________________________________ Simone Brantes — Diálogo I Eu disse a ela que eu tenho um bom coração Ela disse sim claro que você tem quando tem coração II Olha aqui, eu falei, esse poeminha nós duas que fizemos juntas Ela respondeu engano seu o poema é todo meu você só escreveu _________________________________ Use #tomaaiumpoema Siga @tomaaiumpoema Poema: Diálogo Poeta e voz: Simone Brantes Apoio: Afetiva Rede de Culturas https://tomaaiumpoema.com.br ATENÇÃO Somos um projeto social. Todo valor arrecadado é investido na literatura. FAÇA UM PIX DE QUALQUER VALOR CNPJ 33.066.546/0001-02 ou tomaaiumpoema@gmail.com Até mesmo um real ajuda a poesia a se manter viva! #poesia | #poemas | #podcast

Simone Brantes - Talvez você falasse

The recent dust-up over Direct Contracting and its ultimate rebranding as the ACO REACH model may have led some to believe that our path forward is unclear. That couldn't be further from the truth. On this episode, we talk with François de Brantes, Senior Vice President of Episodes of Care at Signify Health, about where we are on the pathway to escaping the tyranny of Fee-For-Service healthcare. It's tyranny because it prevents us from delivering care the way we want to and need to. Advanced Alternative Payment Models like ACO Reach allow organizations to separate payment from delivery, stop focusing their efforts on top-line revenue, and begin to operate like typical P & L driven companies. The promise, of course, is that this will change the way healthcare is delivered in the U.S., improve outcomes and lower costs. We discuss: - Has utilization and payment returned to pre-pandemic norms? - Why are commercial carriers lagging behind Medicare and Medicaid in launching Advanced Alternative Payment Models? - Will the shift to value and consumer-centric delivery methods like telemedicine diminish uncompensated care? - Is it possible to be proactive and patient-centric in Fee-for-service? - Are provider systems ready for AAPMs? - Can employers band together to create enough demand for AAPMs in the under-65 commercial market? - What were the arguments against the Direct Contracting Model? - Did they have merit? - What changes were made to Direct Contracting as part of the rebrand to ACO Reach? - How does this dust-up over Direct Contracting confirm we are on a bi-partisan, unwavering march toward value and never going back? - Why did Signify Health acquire Caravan Health?   For full show notes and links: https://thehcbiz.com/189-escaping-the-tyranny-of-fee-for-service-healthcare-francois-de-brantes/

Friends, I've heard back from a few of you recently about some of the episodes we've had around employer health insurance & benefits. In fact, I was just speaking this ...

O convidado da vez em nosso podcast é o Fernando Brantes, Chief Operating Officer (COO) da Itaú Asset.Na conversa, Brantes conta sua trajetória pessoal e profissional, fala sobre os desafios da área de operações da maior asset privada do Brasil, e também dá dicas super valiosas no final.

The all-too-common visualization of balancing between the two canoes of fee-for-service (FFS) and value-based care (VBC) is an appropriate illustration of the pressure that providers feel, but maintaining balance is clearly focused on staying upright, on survival. The challenge is that the FFS canoe has a motor, and the paddle for the VBC canoe is not enough to change direction – clearly the tools used to optimize reimbursement in the two worlds are oftentimes diametrically opposed. The mission behind VBC (lower cost, better outcomes, better care) has not been sufficient for many to overcome the momentum of the status quo, the requirement for margin that is the focus of FFS. This week's episode features two leaders in the race to value who have vital insights focused on achieving margin in risk, giving provider leaders more clarity to make the best decisions for their organizations in positioning for the future. François de Brantes serves as Senior Vice President of Commercial Business Development at Signify Health. He leads customer development of the Medicare Advantage, Self-Insured Employer, and Commercial Payer markets. He has spent close to two decades working to transform the U.S. healthcare system by improving incentives for providers and consumers in order to encourage value-based decisions.  He is the foremost expert on designing and implementing episodes of care programs for employers, providers and health plans. Joe Fifer is president and CEO of the Healthcare Financial Management Association. HFMA's mission is to lead the financial management of health care. With more than 50,000 members, HFMA is the nation's leading membership organization of healthcare finance executives and leaders. Prior to assuming this position in 2012, Joe spent 11 years as vice president of hospital finance at Spectrum Health in Grand Rapids, Mich. He also spent time with McLaren Health Care Corporation, Ingham Regional Medical Center and Ernst & Young.   Episode Bookmarks: 02:00 Introduction to our Mission-Oriented Expert on Value-Based Care, François de Brantes (SVP, Signify Health) 02:20 Introduction to our Margin-Focused Healthcare Finance Executive, Joe Fifer (President & CEO, HFMA) 03:40 Healthcare organizations must position themselves for value-based payment without going bankrupt in the process! 05:00 The recently released report entitled, "The Future of Value-Based Payment: A Road Map to 2030” 07:00 François provides his perspective on the current state of value-based care and the current track record of CMS and CMMI payment models 11:30 Joe explains how excessive healthcare spending has forced the U.S. under-invested in infrastructure 13:00 Moving from payment model experimentation to a more focused set a models with the right incentives to move the industry forward 14:30 Performance Results of the Bundled Payments for Care Improvement (BPCI) initiative 16:00 How François and Joe initially met 10+ years ago while working on a bundled payment program 17:45 François explains how making better decisions in post-acute care when managing an episode of care can generate margin at the patient-level 21:00 Joe on why CFOs are leery of value-based payment because of the variation and uncertainty of the financial model, and how to create an attitudinal change 23:30 CMMI needs to develop a core set of APMs that show evidence in helping the delivery system make the right decisions around resource allocation to optimize their organizational structures. 25:00 Is there an organizational tipping point for value-based care based on the percentage of their revenue portfolio at risk? 26:00 François explains the “CFO's Dilemma” (i.e. shifting a portion of FFS revenue to risk with increased associated margin per patient that can offset the decrease in the overall margin from the loss of incremental hospitalization revenue in FFS) 27:40 The “CFO's Dilemma” is all about reaching a tipping point...

In this month's episode of the Meet the Board podcast series, MHE spoke with Signify Health's Senior Vice President of Episodes of Care, François de Brantes. In the discussion de Brantes touched on a few facts about himself, he shared the toxic incentives in healthcare, how the Direct Contracting Model differs from Medicare Advantage and more.

Simone Brantes é uma poeta brasileira. Cursou Pós-Graduação em Filosofia, mestrado, na Universidade Federal do Rio e Janeiro em 1992. Até 2016, cumpriu parte de seu doutorado em Berlin - Alemanha. Entretanto não prosseguiu a carreira acadêmica. A poesia bateu com força obstruindo o doutorado que iniciou. Nasceu em 1963 no Rio de Janeiro. Atualmente está com 58 anos. >> Apoie o projeto e nos ajude a espalhar mais poesia https://apoia.se/tomaaiumpoema Poema: Sem título Poeta: Simone Brantes Voz: Jéssica Iancoski | @euiancoski Use #tomaaiumpoema Siga @tomaaiumpoema "Não se trata dos ombros do pescoço do busto não se trata da barriga do umbigo dos braços do espaço entre as coxas não se trata de ao entrar no quarto descarte os olhos junto com as roupas" Descubra mais em www.jessicaiancoski.com Está servido? Fique! Que tal mais um poeminha? ___ >> Quer ter um poema seu aqui? É só preencher o formulário! Após o preenchimento, nossa equipe entrará em contato para informar a data agendada. https://forms.gle/nAEHJgd9u8B9zS3u7 CONTRIBUA! =P >> Formulário para Indicação de Autores, contribuição com declames, sugestões (...)! https://forms.gle/itY59kREnXhZpqjq7

Simone Brantes é uma poeta brasileira.Cursou Pós-Graduação em Filosofia, mestrado, na Universidade Federal do Rio e Janeiro em 1992. Até 2016, cumpriu parte de seu doutorado em Berlin - Alemanha. Entretanto não prosseguiu a carreira acadêmica. A poesia bateu com força obstruindo o doutorado que iniciou. Nasceu em 1963 no Rio de Janeiro. Atualmente está com 58 anos. >> Apoie o projeto e nos ajude a espalhar mais poesia https://apoia.se/tomaaiumpoema Poema: Mar Poeta: Simone Brantes Voz: Jéssica Iancoski | @euiancoski Use #tomaaiumpoema Siga @tomaaiumpoema "Aquele dia quando voltávamos do cemitério – a pequena serra e o mar em grandes goles, lá fora a pele se cobria de azul de sol de maresia a vida eu pensava é só isso o amor é só o fio que nos ata (enquanto pode) à superfície" Descubra mais em www.jessicaiancoski.com Está servido? Fique! Que tal mais um poeminha? ___ >> Quer ter um poema seu aqui? É só preencher o formulário! Após o preenchimento, nossa equipe entrará em contato para informar a data agendada. https://forms.gle/nAEHJgd9u8B9zS3u7 CONTRIBUA! =P >> Formulário para Indicação de Autores, contribuição com declames, sugestões (...)! https://forms.gle/itY59kREnXhZpqjq7

overcoming trials that life throws at you

Creating Your Own Economy Pt 1 Hosted by Peter Mingils and Dawn de Brantes 

After a short sabbatical, Dawn de Brantes and Peter Mingils got back together for their very first live stream on Facebook Live and wanted to share it with our listeners. We talked about everything from Turkey Vultures, Gluten & Dairy Intolerance, NutritionFacts.org, Diabetes, and a ton of other topics while catching up with eachother. We had a blast and hope you enjoy it too! Welcome back to the Dash!

It's Almost Tax Time and Dawn Wright-Olivares de Brantes & Peter Mingils are chatting w/ tax preparer and IRS Strategist Bob Adams. Don't miss it!

A show about a very special person with a very special goal, harnessing the power of intention and the law of attraction to get her dream job. This episode is all about is hosted by co-hosts Dawn Wright-Olivares aka Dawn de Brantes and Peter Mingils with their guest Barb Ghent.

Dawn Wright-Olivares aka de Brantes and Peter Mingils Retro Dash Radio launch    On December 26 2012, Dawn de Brantes aka Dawn Wright Olivares and Peter Mingils started The Dash Radio. On Tuesday November 24th 2020, after a "break" they are restarting The Dash. This time there will be podcasts and video streaming.  So keep in touch. We thought it fun to rebroadcast our first radio show as a frioendly reminder http://www.thedashradio.com

Dawn Wright-Olivares (Dawn de Brantes) and Peter Mingils talk about S.M.A.R.T. goal-setting techniques, New Years resolutions (and why they don't usually stick) and creating what you truly desire - lose weight, make money or find and attract the perfect partner. 

Peter Mingils, Dawn Wright-Olivares (Dawn de Brantes) Interview Bob Adams who speaks on taxes and being in business for yourself.

Poema de um dia "útil".

Back from our quick hiatus, we are continuing the conversation on Move to Value (see episode 24 for part 1). Francois de Brantes, SVP Episodes of Care at Signify Health, joins the podcast to dig into what Episodic Bundles are, how it relates to the Move to Value initiative and what employers can do to be a part of this movement.

Managed Healthcare Executive recently had a wide-ranging conversation with de Brantes about COVID-19, the healthcare sector and how the precipitous drops in utilization and provider revenue may affect the future of bundled payment and other alternative payment models.

Today, over 20 million Americans are suffering from some form of addiction. Unlike many other chronic conditions — where “standards of excellence” inform consumers, health systems, and payers about best practices and services that should be available — today’s addiction recovery services are delivered through system that lacks alignment or integrated economic structures that incentivize long-term recovery. Hear François de Brantes of Signify Health discuss with Dan Crow of Superior Health Plan and Greg Williams of Third Horizon Strategies the much-needed changes to how Substance Use Disorders are treated that will lead to better long-term outcomes.

This podcast series is brought to you by Signify Health, the market leader in transforming the quality, delivery and cost of care.Employers are increasingly contracting directly with physician groups, hospitals and health systems to keep their employees’ health care costs down without sacrificing care quality.In this podcast, François de Brantes of Signify Health interviews Wendy Smith, Sr. Vice President/National Leader Delivery System Transformation at AON Health & Benefits, about this growing employer demand for Episodes of Care and Centers of Excellence.Hear them discuss what how employers can effectively set their strategy for healthcare benefits for 2021 and beyond.

Health systems have been working hard to lay the foundation for taking on a larger case mix of value-based contracts. 75% of health systems surveyed said they are ready to accept downside risk in the next two years, up from 42% in 2015. As health systems are discovering, value-based care reimbursement is more complicated and requires a new level of specificity in documentation. The question is, are health systems really ready to take on downside risk while continuing to manage FFS contracts? Today we have Kyle Swarts, Chief Growth Officer, and Matt Lambert, MD, Chief Medical Officer from TrustHealthcare to help us answer that question. We discuss challenges and opportunities facing health systems as they embrace the shift to value. Enjoy! Highlights from Headwinds Impacting the Shift to Value-Based Care It's time for providers to take on risk. Everyone has a population health department but fee-for-service is still driving your overall strategy. The threshold for making the jump to VBP. Why it's so difficult to get doctors on board with VBP. "It's not how sick your patients are, it's how well you document how sick your patients are." The risk of moving slowly to VBP. The promise of 60 minute home visits with a physician finally has a reimbursement model. Where we will see new consolidation in response to VBP. The two big reasons specificity in documentation is key to successful downside risk contracts. Reimagining EHR design to foster VBP. AI success is all about physician adoption. Kyle Swarts, Chief Revenue Officer Kyle is a growth-minded leader who has overseen sales, marketing, and business development at healthcare consulting, revenue cycle management and information technology companies for the past 12 years. Matt Lambert, MD, Chief Medical Officer Matt brings over twenty years of experience as a clinician, CMIO, and change leader to value-based care, ensuring that patients receive more comprehensive care and that payers and providers better capture the value of their services. TrustHealthcare Founded in 2018 by a team of healthcare veterans and clinicians with private equity funding from Windrose Health Investors, TrustHealthcare's mission is to empower healthcare provider organizations and health plans to successfully navigate from fee-for-service to value-based care. The TrustHealthcare platform seamlessly integrates with the electronic health record and leverages more than 500 proven clinical rules – while also connecting CDI specialists, clinicians, and coders in one simplified workflow. With TrustHealthcare, providers and health plans can rest assured that they are capturing the full value of patient care in real-time. Links and Resources TrustHealthcare Website TrustHealthcare Linkedin Unrest Insured by Matt Lambert, MD A Primer on HCC codes and Risk Adjustment Related Episodes: Top 10 Things to Ensure Success in a Value-based Healthcare World Value-based Payment: Progress, Trends and Direction w/ Jason Helgerson The Future of Value-Based Payment w/ François de Brantes of Remedy

In this broadcast, featuring Alice Gosfield Esq, Nick Bluhm and François de Brantes, we examine Medicare's Oncology Care Model and suggest ways in which it can be improved to increase its appeal to physicians and private sector payers, while achieving its objectives of improving quality while reducing total cancer costs.

17.11.10 Alexis Brantes. Validación de la emoción del usuario cuando establece el vínculo con la Realidad Virtual

17.11.10 Alexis Brantes. Validación de la emoción del usuario cuando establece el vínculo con la Realidad Virtual

Conte musical « Bulle et Arc en ciel » du 27 juin à l’école de Brantes. L’article Bulle et Arc en Ciel dans le Toulourenc : Conte musical par l’école de Brantes. est apparu en premier sur RTV FM.

Today we’re talking episodes of care payment models, otherwise known as bundled payments. Just to catch you up if you’re unfamiliar, this type of payment model means that a health care provider packaging together all the services needed during an episode and charges a guaranteed price for guaranteed quality of care. If we’re talking about government payments, about 50% of, for example, knee surgeries are paid for right now in an episode of care fashion. In the private pay landscape, that number is lower but growing. Bundles have advantages to purchasers (ie, employers or taxpayers who are the ultimate payers) because it’s possible to predict and compare the target price they’ll pay. But it’s also important for consumers who are partial payers in most cases. Bundles make health care prices transparent in a way that fee for service (FFS) can never manage. Today I speak with François de Brantes, senior vice president at Remedy Partners and a noted expert in episodes of care and bundled payment initiatives. François also actively supported the launch of the Leapfrog Group, created Bridges to Excellence, and led the development and implementation of PROMETHEUS Payment. You can learn more at remedypartners.com. François de Brantes is senior vice president of commercial business development at Remedy Partners. He has spent nearly 20 years advocating for, and working to transform, the US health care system by improving incentives for providers and consumers to encourage value-based decisions. Prior to joining Remedy Partners, he was executive director of the Health Care Incentives Improvement Institute (HCI3), a not-for-profit company that designed programs to motivate physicians and hospitals to improve the quality and affordability of health care delivery. Early in his career at General Electric, he was involved in many strategic programs that rewarded providers for better performance. He has written extensively about the topic, including his 2013 book, The Incentive Cure: The Real Relief for Health Care. 02:04 The new Medicare Shared Savings Program (MSSP) and how it intersects in this conversation. 03:02 Why physicians need an advanced alternative payment model. 04:01 Why episode of care makes sense. 04:40 Why upside-only deals are not financially sustainable. 06:16 A manageable financial risk. 07:34 Taking on total cost of care and the small percentage of significant potential variability. 08:37 “The only way to avoid the almost-certain variability that is going to accrue on that half of 1% is if you have a lot of patients.” 09:12 The “danger zone” of Medicare beneficiaries. 11:55 “Either you’re in total cost of care, or it’s episodes.” 13:59 Quality of care vs bundled payments. 18:20 “Let’s not forget … that the reason why we’re doing … this … is because consumers, directly and indirectly, are paying the price.” 19:00 Dave Chase’s books and health care in the middle class. 19:42 The wealth of savings in post-acute care. 21:19 How to demonstrate the value you’re bringing to that episode of care. 21:47 Broad strokes of integrated delivery systems that provide value. 22:08 The next logical solution in integrated delivery systems and episode of care payment programs. 22:28 “They’re going to take on much more of the role of the care coordinator.” 23:43 “It’s not just the integrated systems; it’s really the physicians who … are taking responsibility for what happens.” 24:00 Michael Hunt and formalized, evidenced-based ways to evaluate post-acute facilities. 24:22 Remedy Partners and François’s role in episodes of care. You can learn more at remedypartners.com.

On this episode, we talk with François de Brantes, Senior Vice President of Commercial Business Development at Remedy, about the future of value-based payment. François shares with us the importance of transparency, measurement, and responsibility and tells us why payment reform is such an effective lever to drive change. You'll hear about models that have been successful, how employers are driving change, and what you can expect from the next generation of value-based payment. In addition, François shares his insights on how we can account for the social determinants of health (SDOH) in our program design.  This section led to a significant "aha" moment for me and underscores the importance of incorporating community-based organizations (CBOs) more tightly with our traditional healthcare delivery system.   View full post and show notes on the web   François de Brantes will be a keynote speaker at the inaugural VBP Forward Conference in Buffalo, NY on February 20th and 21st, 2019.   This episode is sponsored by VBP Forward: VBP Forward will host its inaugural conference February 20-21, 2019 in Buffalo, NY at the Hyatt Regency Buffalo. The conference will bring together over 200 professionals who serve Medicaid and Medicare special needs or complex populations or have an interest in that value chain. Participants will gain insight into the next generation of value-based payment and will be provided with a roadmap for their path towards effective value payment for special needs populations. In addition to clinical providers, VBP Forward will have a track and focus on guiding community-based organizations down the right path for the collection of social determinants of health and how they can become not only an integral part of care delivery but also the revenue cycle associated with that delivery.   About François de Brantes:  François de Brantes serves as Senior Vice President of Commercial Business Development at Remedy Partners. He leads customer development of the Medicare Advantage, Self-Insured Employer, and Commercial Payer markets. He has spent close to two decades working to transform the U.S. healthcare system by improving incentives for providers and consumers in order to encourage value-based decisions. Prior to joining Remedy Partners, he served as Vice President of Altarum, a national nonprofit. From 2006 to 2016, he was Executive Director of the Health Care Incentives Improvement Institute (HCI3), a not-for-profit company that designed programs to motivate physicians and hospitals to improve the quality and affordability of healthcare delivery. The organization, which merged with Altarum in December 2017, was responsible for the Bridges to Excellence® (BTE) and PROMETHEUS Payment® programs, which compensate and reward clinicians that focus on episodes of care and performance measures. Prior to HCI3, François was Chief Operating Officer of the eHealth Initiative (eHI), which promotes adoption of health information technology in the U.S. He led the development of eHI's HIE Value and Sustainability Model, a method to value services offered by Health Information Exchanges. Early in his career working in General Electric's corporate health care department, he was involved in many strategic programs that created, connected and supported Active Consumers, and defined market mechanisms to reward providers for better performance. François holds a master's degree in Economics and Finance from the University of Paris IX-Dauphine and a master's degree in Business Administration from the Tuck School of Business Administration at Dartmouth College. LinkedIn Twitter   About Remedy:  Remedy operates the nation's largest bundled payment network. Remedy is not only an operator of bundled payment programs, but actively manages and assumes financial risk with providers that are contracted for at-risk bundles. Remedy works hand in hand with the payer and the providers to deliver bankable savings by implementing double-sided risk programs. We believe that it's only by sharing financial risk that bundled payment operators can truly become partners with the payer and the providers in the transformation of the delivery system and achieve better quality and cost outcomes. All of the bundled payment programs that Remedy has participated in and implements are risk-based. https://www.remedypartners.com/   Related and/or Mentioned on the Show:  Quality of Healthcare in America Report   Join our Community!  Trying to drive change within your healthcare organization? Launching a new product? Having trouble getting decision makers attention and buy-in? We'll help you understand the whole picture so that you can align your innovation with the things decision makers care about. And then we'll help you execute It's not easy, but it's possible and we'll help you get there.  Sign up here and we'll keep you up to date on healthcare industry news with podcasts, blog posts, conference announcements and more. No fluff. No hype. Just the valuable (and often not-so-obvious) information you need to get things done. Sign up here   The #HCBiz Show! is produced by Glide Health IT, LLC in partnership with Netspective Media. Music by StudioEtar

Listen in as Suzanne chats with Francois de Brantes, Vice President and Director at The Altarum Institute, about a brand new benefit design called Medical Episode Spending Accounts (MESA)that build on value-based insurance design to reduce out of pocket costs for consumers.

Join Peter Mingils & Dawn Wright-de Brantes for night 2 featuring fun and powerful exercises to expand your mind and achieve your goals with a Master Facilitator D. Scott Pullan from Klemmer & Associates.   Click "Follow" (top left) to be plugged in to our schedule Subscribe to: www.thedashradio.com Call-in and chat: 347-843-4731 Text "dash" to 37404 for our upcoming mobile experience   "After 25 years in MLM field & corp leadership and 15 committed years in personal and leadership development training - there are very few people that I've known, liked and respected through every day of it.  It is an honor and privilege to introduce you to one of my favorite people on the planet - Author, Speaker, Trainer, Faciliator and master of personal relationships too boot - D. Scott Pullan." - Dawn Wright-de Brantes   From E'ola's nutritionals trainer/author...to now close to a decade with Klemmer & Associates devoting his career to personal & leadership development facilitation specializing in the MLM & Direct Sales industries - Scott has never stop teaching, giving and reaching for a fuller life for himself, his family and countless others.     Come share an hour and experience a soul with a Dash that just keeps getting bigger and bigger with more meaning than most.  

Join Peter Mingils & Dawn Wright-de Brantes for a two-night series featuring fun and powerful exercises with a Master Facilitator D. Scott Pullan from Klemmer & Associates. Follow the Dash (top left corner of this screen) Call-in and chat: 347-843-4731 Text "dash" to 37404 Check out their blog: www.thedashradio.com Like their FB Page: www.facebook.com/thedashradio   "After 25 years in MLM field & corp leadership and 15 committed years in personal and leadership development training - there are very few people that I've known, liked and respected through every day of it.  It is an honor and privilege to introduce you to one of my favorite people on the planet - Author, Speaker, Trainer, Faciliator and master of personal relationships too boot - D. Scott Pullan." - Dawn Wright-de Brantes   From E'ola's nutritionals trainer/author...to now close to a decade with Klemmer & Associates devoting his career to personal & leadership development facilitation specializing in the MLM & Direct Sales industries - Scott has never stop teaching, giving and reaching for a fuller life for himself, his family and countless others.     Come share an hour and experience a soul with a Dash that just keeps getting bigger and bigger with more meaning than most.  

Join us for an hour of "BackTalk" @ theDash.  Ft. Dawn Wright-de Brantes, Alex de Brantes, Aaron Baker, Andrew Young, & Jon Wright We will be discussing Don Cheadle being revelead as Iron Patriot in Iron Man 3 which comes out in theathers May 3, 2013. 20 Social Media habits to give up for lent or 30 day challenge. Pope Benedict XVI is stepping down as the Pope on February 28, 2012. First Pope to resgin from the office since 1415. Obama's State of the Union address and its impact on 3D Printing, and Science and Technology in the USA. Robohand gives fingers back to young boy born with Ambiotic Band Syndrome. Robohand was built entirely out of biodegradable plastic using a 3D printer and open source design software SCAD.   Please be sure to follow theDash by following the links and instructions below: To Follow the Show - click "Follow" in the top left corner of the show @:  www.dashradioshow.com Subscribe to our Blog Like Us on Facebook Text "Dash" to 37404 to subscribe to our upcoming mobile experience

Host: Jack Lewin, MD Guest: Francois de Brantes, MS, MBA As we all strive to improve quality of care, two crucial questions remain at the heart of the issue: How do we define, and identify, quality in practices, hospitals and other health care settings? Then, how can new methods of identifying quality in practices help improve the standardization of processes and care that patients receive? Join host Dr. Jack Lewin and his guest, Francois de Brantes, executive director of the Health Care Incentives Improvement Institute in Newton, Connecticut, which manages the Bridges to Excellence and PROMETHEUS payment programs. Mr. de Brantes talks about the specific data that can help identify quality, and ways to utilize these data to improve and facilitate quality improvement. How does identifying quality in cardiovascular practices coincide with the increasing interest in value-based health care delivery? Produced in Cooperation with

Host: Jack Lewin, MD Guest: Francois de Brantes, MS, MBA As we all strive to improve quality of care, two crucial questions remain at the heart of the issue: How do we define, and identify, quality in practices, hospitals and other health care settings? Then, how can new methods of identifying quality in practices help improve the standardization of processes and care that patients receive? Join host Dr. Jack Lewin and his guest, Francois de Brantes, executive director of the Health Care Incentives Improvement Institute in Newton, Connecticut, which manages the Bridges to Excellence and PROMETHEUS payment programs. Mr. de Brantes talks about the specific data that can help identify quality, and ways to utilize these data to improve and facilitate quality improvement. How does identifying quality in cardiovascular practices coincide with the increasing interest in value-based health care delivery? Produced in Cooperation with

Guest: Francois deBrantes Host: Bill Rutenberg, MD Bridges to Excellence (BTE) is a national not-for-profit organization that designs and implements programs to recognize and reward physicians that deliver high quality care. In talking with BTE's CEO, Francios de Brantes, host Dr. Bill Rutenberg learns about BTE's methodology for measuring quality, how physicians can get involved in BTE's program, how the evaluation process works and where BTE's program fits into national health policy.