Podcasts about national business coalition

For a full transcript of this episode, click here. “Anyone who isn't confused really doesn't understand the situation.” That's a quote by Edward R. Murrow and very apropos. I started thinking about this conversation that I had had with Brian Klepper, PhD, because so much going on right now—so many discussions and dissections taking place about primary care financial struggles, about what is value in healthcare. And the RUC (Relative Value Scale Update Committee) is, at a minimum, an underlying factor; but yet it doesn't come up. Almost ever. Merrill Goozner called the RUC the AMA's (American Medical Association's) “dark secret,” and I can see why. Just one procedural note before I roll tape with Brian Klepper. We're gonna go a little rogue today because you kind of got to understand what the RUC is before I can get into the two points I really want to make about it. So, here's my outrageous plan, which will shake up our standard Relentless Health Value format. Today, I'm gonna make the points I want to make after the interview, not before, like usual. I will, however, just mention the two points so you can keep them in mind as I talk with Brian. Here's the first point, and it's about the doomed financials of primary care. Why is it that primary care has a lot of times no business model unless part of the business model includes driving profitable downstream utilization? And when I say utilization, do I mean services with bigger RVUs (relative value units)? Why, yes, I think I do. We'll dig into this later. Here's my second point, and it's my view on the nature of any postulations that the “value of healthcare services” is equivalent to the prices that we pay for said services. Again, more on that later, but here is my original conversation with Brian Klepper. Brian Klepper is a longtime healthcare analyst and former CEO of the National Business Coalition on Health. Also mentioned in this episode are Merrill Goozner and Elizabeth Mitchell. People who have written about primary care: Scott Conard, MD; Paul Buehrens, MD, FAAFP; Larry McNeely; Primary Care Collaborative; Nisha Mehta, MD; Dan Mendelson; Tony Lin, MD; Juliet Breeze, MD; Raymond Tsai, MD; Linda Brady; Guy Culpepper, MD; David Muhlestein, PhD, JD   You can learn more in this article and on the AMA Web site.   Brian Klepper, PhD, is principal of Worksite Health Advisors and a nationally prominent healthcare analyst and commentator. He speaks, writes, and advises extensively on the management of clinical and financial risk, on high-performance healthcare, and on realizing the potential of primary care. His current focus is on high-performing healthcare organizations that consistently deliver better health outcomes at lower cost than usual approaches in high-value niches and how, integrated with advanced primary care, they can be configured into turnkey comprehensive high-value health plans that can disrupt the status quo.   02:29 What is the RUC? 06:26 Why is primary care not the “easy” specialty? 09:42 What are three low-value things per RUC? 10:33 EP436 with Elizabeth Mitchell. 10:38 What is a root cause of why primary care doesn't get paid more? 12:50 Why doesn't value equal money?   You can learn more in this article and on the AMA Web site.   @bklepper1 discusses #TPA and #primaryhealthcare and #mentalhealth on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! Elizabeth Mitchell, David Scheinker (Encore! EP363), Dan Mendelson, Dr Benjamin Schwartz, Justin Leader, Dr Scott Conard (Encore! EP391), Jerry Durham (Encore! EP297), Kate Wolin, Dr Kenny Cole, Barbara Wachsman  

This week we continue our conversation with Gregg Lehman. Gregg was our first guest on the Motivated to Lead podcast. Gregg has significant experience in CEO and board director (Chairman/Vice Chairman) positions. He is a transformational leader moving underperforming businesses to high-performing, profitable companies. His expertise is diverse, with a concentration in healthcare services, medical devices, payment models, and healthcare IT (B2B, B2C). Gregg has recently joined us at SIMA Partners as the Healthcare/Medical Device Practice Co-Leader. Gregg currently serves on the board of InfuSystem (NYSE: INFU). He has held positions of Chairman, Vice Chairman, Executive Chairman, member of the Audit Committee, Chairman of the Compensation Committee, and Nominating and Governance Committee. Lehman has served as CEO of EB Employee Solutions, LLC. He was president and CEO of MGC Diagnostics Corporation, a leader in cardio-respiratory diagnostics, from July 2011 until May 2014. He served as president and CEO of Health Fitness Corporation, a population health management company, from 2007 through 2010. Before that, he held numerous senior-level executive and governance positions in the medical and higher education, including president and CEO of INSPIRIS, Inc., a Nashville-based specialty care medical management company; of Gordian Health Solutions, Inc., a population health management company; and of the National Business Coalition on Health in Washington, D.C. He also served as president of Taylor University in Indiana.  Gregg earned a Doctorate and a Master of Science in higher education administration, with a minor in finance and economics from Purdue University, and a Bachelor of Science in business management and marketing from Indiana University.

This week we have Gregg Lehman join us as our guest. Gregg was our first guest on the Motivated to Lead podcast. Gregg has significant experience in CEO and board director (Chairman/Vice Chairman) positions. He is a transformational leader moving underperforming businesses to high-performing, profitable companies. His expertise is diverse, with a concentration in healthcare services, medical devices, payment models, and healthcare IT (B2B, B2C). Gregg has recently joined us at SIMA Partners as the Healthcare/Medical Device Practice Co-Leader. Gregg currently serves on the board of InfuSystem (NYSE: INFU). He has held positions of Chairman, Vice Chairman, Executive Chairman, member of the Audit Committee, Chairman of the Compensation Committee, and Nominating and Governance Committee. Lehman has served as CEO of EB Employee Solutions, LLC. He was president and CEO of MGC Diagnostics Corporation, a leader in cardio-respiratory diagnostics, from July 2011 until May 2014. He served as president and CEO of Health Fitness Corporation, a population health management company, from 2007 through 2010. Before that, Lehman held numerous senior-level executive and governance positions in the medical and higher education, including president and CEO of INSPIRIS, Inc., a Nashville-based specialty care medical management company; of Gordian Health Solutions, Inc., a population health management company; and of the National Business Coalition on Health in Washington, D.C. He also served as president of Taylor University in Indiana.  Gregg earned a Doctorate and a Master of Science in higher education administration, with a minor in finance and economics from Purdue University, and a Bachelor of Science in business management and marketing from Indiana University.

The Boston Sea Rovers are transitioning back to the traditional March timeframe for their show. 2023 is the transition year and will be a one-night only film festival at the New England Aquarium on March 18, 2023. The 70th annual Boston Sea Rovers clinic is planned for March 2024 in Danvers, MA. Beneath the Sea is making its return after four years. The show is being held at the Meadowlands Exposition Center in Secaucus, New Jersey on March 25 and 26, 2023. Oceana's National Business Coalition for the Ocean is a group of like-minded businesses that promote Oceana's programs with sign-on letters, petitions and other initiatives. When did you last change your dive computer battery. If you don't know then maybe it's time to get that battery replaced, especially if you are headed out on a dive trip. Find out more about our recent trip to Bonaire where we stayed at Divi Flamingo Resort and did our diving with Divi Divers. The resort is strategically located and you can walk to town for dinner or shopping. The resort also has two restaurants - Chibi Chibi and Pureocean. The rooms are clean and comfortable. Divi Divers run several different boats and get you to the Bonaire and Klein Bonaire dive sites quickly. Water temperature in late February and early March was a consistent 79 degrees Fahrenheit or 26 degrees Celsius. Visibility was consistently 80 to 100 feet. With seahorses on five dives, octopus, frogfish and more, you'll encounter a lot of small reef fish and creatures.  

This show was one of the most popular episodes in the past 12 months, so enjoy this encore while I am in Chicago moderating a panel on pharmacy benefit management at the WTW Conference Board. But while I have you, I just wanted to thank everyone for listening. You really are a part of our Relentless Tribe, and I could not thank you enough for your commitment to doing the right thing for patients and for this country—and that dedication is evidenced by you listening as often as you do to Relentless Health Value. Our show has the largest following of individuals who are truly pushing hard for patients over profits, and since, according to LinkedIn anyway, 40% of our listeners are at the “highest level of seniority in their organization,” I'm guessing that we have the muscle to do this thing. Thanks for being part of the Relentless Tribe and for all that you do. In this healthcare podcast, I'm talking with Brian Klepper. If you haven't heard of him, Brian's a longtime healthcare analyst and former CEO of the National Business Coalition on Health. This interview takes off like a shot, as most of my conversations with Brian Klepper do. We're talking about primary care and its various iterations. We start out with Exhibit A—the HMO version of primary care from the '90s. This is a great comparator to really get a handle on what's going on today. During the heyday of HMOs (back in the '90s), primary care was basically a glorified gatekeeper kind of doing two things. On one hand, they were restricting access. It wasn't an accident that it was really hard to get an appointment with a PCP. On the other hand, it also wasn't an accident that, once you got there, the PCP only had 7 minutes to spend with you, which basically meant that you left with an appointment to see a specialist at, of course, the health system that probably had just bought that PCP practice. Everybody's happy then, right? Specialist volume goes up, they make a ton of money for the health system, plans make a ton of money because they make a percentage of total healthcare spend … Oh right, everybody's happy except the patient who can't get care and the PCP who can't do their job. By the way, for more information on why the '90s version of the HMO industry crashed and burned, listen to my conversation with Alex Jung on this exact topic. A big part of the “why” really actually took me by surprise. But back to primary care … Today, in broad strokes, we have three kinds of PCPs. And when I say three kinds of PCPs, we're not really counting urgent cares or what amounts to urgent cares in that mix—meaning, not counting a lot of the retail clinics because they don't really manage patient care like you'd hope a PCP would manage care. Last I checked, none of them were managing much more than an episodic visit. You can't manage a chronic condition in 15 minutes. So, like I said, there's three kinds of PCPs that are around today; and let's call the first kind the original PCP. This version of the PCP office is primarily fee for service (FFS). Maybe they have a couple of capitated contracts. But the distinguishing factor isn't really what their payer mix is. It's that they're not taking on much risk or any risk of real consequence. Second, we have direct primary care doctors. This group tends to cut out insurers and work directly with either employers or patients themselves. They take a monthly fee, and, in general, a patient can see them however much they need to. Again, no risk or little risk is assumed here beyond the primary care services themselves that are rendered. Third, we have what Brian calls industrialized primary care—or some people call it advanced primary care, or APC—but I'd probably call it something different. I'd call it “taking risk for the full continuum of care” primary care. Maybe I wouldn't even call it primary care at all because this third category really is starting to color outside of the lines of primary care. This third iteration requires many things to accomplish. It requires an unimpeachable relationship with the patient; you cannot be successful with this otherwise. It requires great virtual/digital capabilities. It also requires data—data to help ensure that care gaps are filled but also to make sure that patients are referred to high-quality, high-value specialists downstream who will actually create outcomes. It also includes optimizing specialty pharmaceutical usage, for example. Brian gets into this and how a state employee health plan is on track to save $1.3 billion in this fashion. Brian believes that this third iteration of primary care—this APC industrialized primary care—is the third leg of a three-legged stool that is needed to transform healthcare. If you must know, the second leg is identification and the use of high-performing specialty services; and the third is value-based reimbursement environment. Most of the second half of this conversation with Brian is about why there's just a flurry of investment into various forms of these advanced or just maybe even regular primary care models and how they might evolve moving forward. I ask Brian about Carbon Health and their recent claim that they can do primary care with about 25% to 30% EBITA, even at Medicare FFS rates. So, there's that. One last thing: We'll be posting an “Ask an Expert” with Brian Klepper, where he gives the backstory about how the RUC—that AMA committee—basically killed primary care. So, come back for that show after you're done with this one. It's a plot full of intrigue, that's for sure. You can learn more by emailing Brian at bklepper@worksitehealthadvisors.com.   Brian Klepper, PhD, is principal of Worksite Health Advisors and a nationally prominent healthcare analyst and commentator. He speaks, writes, and advises extensively on the management of clinical and financial risk, on high-performance healthcare, and on realizing the potential of primary care. His current focus is on high-performing healthcare organizations that consistently deliver better health outcomes at lower cost than usual approaches in high-value niches and how, integrated with advanced primary care, they can be configured into turnkey comprehensive high-value health plans that can disrupt the status quo.   05:59 Is the HMO model of primary care a good model? 08:36 “Industrialized medicine is exciting.” 09:44 What does primary care have the opportunity to do? 10:06 “The problem that goes along with that is that now immense amounts of money are being infused into primary care organizations.” 11:00 Where does direct primary care and advanced primary care fit into this model? 14:19 “At the end of the day, what primary care really needs to be about is … the management of life issues as well.” 14:48 EP295 with Rebecca Etz, PhD. 15:03 “Better relationships quantifiably translate to better care.” 22:21 “Almost nobody in healthcare wants any of this to happen.” 24:30 Why the huge amounts of money being invested into primary care is actually a big problem. 28:43 “We should be able to get wildly better health outcomes for about 40% to 45% of the money that we're currently spending.” You can learn more by emailing Brian at bklepper@worksitehealthadvisors.com.   @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp Is the HMO model of primary care a good model? @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp “Industrialized medicine is exciting.” @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp What does primary care have the opportunity to do? @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp “The problem that goes along with that is that now immense amounts of money are being infused into primary care organizations.” @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp Where does direct primary care and advanced primary care fit into this model? @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp “At the end of the day, what primary care really needs to be about is … the management of life issues as well.” @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp “Better relationships quantifiably translate to better care.” @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp “Almost nobody in healthcare wants any of this to happen.” @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp Why the huge amounts of money being invested into primary care is actually a big problem. @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp “We should be able to get wildly better health outcomes for about 40% to 45% of the money that we're currently spending.” @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp Recent past interviews: Click a guest's name for their latest RHV episode! Dr Aaron Mitchell (EP382), Karen Root, Mark Miller, AJ Loiacono, Josh LaRosa, Stacey Richter (INBW35), Rebecca Etz (Encore! EP295), Olivia Webb (Encore! EP337), Mike Baldzicki, Lisa Bari, Betsy Seals (EP375), Dave Chase, Cora Opsahl (EP373), Cora Opsahl (EP372), Dr Mark Fendrick (Encore! EP308), Erik Davis and Autumn Yongchu (EP371), Erik Davis and Autumn Yongchu (EP370), Keith Hartman, Dr Aaron Mitchell (Encore! EP282), Stacey Richter (INBW34), Ashleigh Gunter, Doug Hetherington, Dr Kevin Schulman, Scott Haas, David Muhlestein, David Scheinker, Ali Ucar, Dr Carly Eckert  

This conversation starts out talking about the RUC, which is a committee run by the AMA, who has the sole source contract with CMS to figure out how many RVUs any given procedure or service is worth. There are roughly four times as many specialists on this RUC committee as PCPs. You might be able to see where this is going, but let me let our guest in this healthcare podcast, Brian Klepper, explain how primary care got trampled by the goings-on. Brian Klepper is a longtime healthcare analyst and former CEO of the National Business Coalition on Health. You can learn more by emailing Brian at bklepper@worksitehealthadvisors.com. Brian Klepper, PhD, is a healthcare analyst, commentator, and entrepreneur. He is a Principal of Healthcare Performance Inc, a healthcare strategy and business development practice, and CEO/Principal of Worksite Health Advisors, a benefits consultancy focused on linking high-performance/high-impact healthcare organizations with purchasers. He founded and moderates a popular professional healthcare Listserv, Healthcare Hackers, which is a discussion forum on healthcare high performance and value and which has about 850 participating benefits managers, benefits advisors, and innovative vendors. An active author and speaker, Dr. Klepper has provided healthcare commentary to CBS Evening News, the Wall Street Journal, the New York Times, and the Washington Post. He has published widely in healthcare trade and academic publications and in newspapers nationally. Brian is a regular contributor to Employee Benefit News, the Health Affairs Blog, The Health Care Blog, The Doctor Weighs In, Kevin MD, and other expert healthcare blogs. He is a reviewer for Health Affairs and The Journal of Ambulatory Care Management. He is an advisor to the Lundberg Institute and to several for-profit healthcare organizations. In his spare time, Brian is an offshore sailor. 01:00 What is the RUC? 03:18 What is the goal of the specialists in the RUC? 04:32 Why health plans and not health systems? 06:55 “All this time, the hospital community was waging war against the HMO community.” 07:59 “The incentives that have been at play have been very formidable.” 08:23 “Primary care has developed a reputation for being the easy specialty … and it's just not so.” You can learn more by emailing Brian at bklepper@worksitehealthadvisors.com. @bklepper1 discusses #primarycare on our #anexpertexplains #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp What is the RUC? @bklepper1 discusses #primarycare on our #anexpertexplains #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp What is the goal of the specialists in the RUC? @bklepper1 discusses #primarycare on our #anexpertexplains #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp Why health plans and not health systems? @bklepper1 discusses #primarycare on our #anexpertexplains #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp “All this time, the hospital community was waging war against the HMO community.” @bklepper1 discusses #primarycare on our #anexpertexplains #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp “The incentives that have been at play have been very formidable.” @bklepper1 discusses #primarycare on our #anexpertexplains #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp “Primary care has developed a reputation for being the easy specialty … and it's just not so.” @bklepper1 discusses #primarycare on our #anexpertexplains #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp Recent past interviews: Click a guest's name for their latest RHV episode! 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, Josh LaRosa, Dr David Carmouche (EP316), Bob Matthews, Dr Douglas Eby (AEE14), Dr Sheldon Weiss, Dan Strause and Drew Leatherberry, Dr Douglas Eby (EP312)

In this healthcare podcast, I'm talking with Brian Klepper. If you haven't heard of him, Brian's a longtime healthcare analyst and former CEO of the National Business Coalition on Health. This interview takes off like a shot, as most of my conversations with Brian Klepper do. We're talking about primary care and its various iterations. We start out with Exhibit A—the HMO version of primary care from the '90s. This is a great comparator to really get a handle on what's going on today. During the heyday of HMOs (back in the '90s), primary care was basically a glorified gatekeeper kind of doing two things. On one hand, they were restricting access. It wasn't an accident that it was really hard to get an appointment with a PCP.  On the other hand, it also wasn't an accident that, once you got there, the PCP only had 7 minutes to spend with you, which basically meant that you left with an appointment to see a specialist at, of course, the health system that probably had just bought that PCP practice. Everybody's happy then, right? Specialist volume goes up, they make a ton of money for the health system, plans make a ton of money because they make a percentage of total healthcare spend … Oh right, everybody's happy except the patient who can't get care and the PCP who can't do their job. By the way, for more information on why the '90s version of the HMO industry crashed and burned, listen to my conversation with Alex Jung on this exact topic. A big part of the “why” really actually took me by surprise.  But back to primary care … Today, in broad strokes, we have three kinds of PCPs. And when I say three kinds of PCPs, we're not really counting urgent cares or what amounts to urgent cares in that mix—meaning, not counting a lot of the retail clinics because they don't really manage patient care like you'd hope a PCP would manage care. Last I checked, none of them were managing much more than an episodic visit. You can't manage a chronic condition in 15 minutes. So, like I said, there's three kinds of PCPs that are around today; and let's call the first kind the OPCP, the original PCP. This version of the PCP office is primarily fee for service (FFS). Maybe they have a couple of capitated contracts. But the distinguishing factor isn't really what their payer mix is. It's that they're not taking on much risk or any risk of real consequence. Second, we have direct primary care doctors. This group tends to cut out insurers and work directly with either employers or patients themselves. They take a monthly fee, and, in general, a patient can see them however much they need to. Again, no risk or little risk is assumed here beyond the primary care services themselves that are rendered. Third, we have what Brian calls industrialized primary care—or some people call it advanced primary care, or APC—but I'd probably call it something different. I'd call it “taking risk for the full continuum of care” primary care. Maybe I wouldn't even call it primary care at all because this third category really is starting to color outside of the lines of primary care. This third iteration requires many things to accomplish. It requires an unimpeachable relationship with the patient; you cannot be successful with this otherwise. It requires great virtual/digital capabilities. It also requires data—data to help ensure that care gaps are filled but also to make sure that patients are referred to high-quality, high-value specialists downstream who will actually create outcomes. It also includes optimizing specialty pharmaceutical usage, for example. Brian gets into this and how a state employee health plan is on track to save $1.3 billion in this fashion. Brian believes that this third iteration of primary care—this APC industrialized primary care—is the third leg of a three-legged stool that is needed to transform healthcare. If you must know, the second leg is identification and the use of high-performing specialty services; and the third is value-based reimbursement environment. Most of the second half of this conversation with Brian is about why there's just a flurry of investment into various forms of these advanced or just maybe even regular primary care models and how they might evolve moving forward. I ask Brian about Carbon Health and their recent claim that they can do primary care with about 25% to 30% EBITA, even at Medicare FFS rates. So, there's that. One last thing: Next week, we'll be posting an “Ask an Expert” with Brian Klepper, where he gives the backstory about how the RUC—that AMA committee—basically killed primary care. So, come back for that show after you're done with this one. It's a plot full of intrigue, that's for sure. You can learn more by emailing Brian at bklepper@worksitehealthadvisors.com. Brian Klepper, PhD, is a healthcare analyst, commentator, and entrepreneur. He is a Principal of Healthcare Performance Inc, a healthcare strategy and business development practice, and CEO/Principal of Worksite Health Advisors, a benefits consultancy focused on linking high-performance/high-impact healthcare organizations with purchasers. He founded and moderates a popular professional healthcare Listserv, Healthcare Hackers, which is a discussion forum on healthcare high performance and value and which has about 850 participating benefits managers, benefits advisors, and innovative vendors. An active author and speaker, Dr. Klepper has provided healthcare commentary to CBS Evening News, the Wall Street Journal, the New York Times, and the Washington Post. He has published widely in healthcare trade and academic publications and in newspapers nationally. Brian is a regular contributor to Employee Benefit News, the Health Affairs Blog, The Health Care Blog, The Doctor Weighs In, Kevin MD, and other expert healthcare blogs. He is a reviewer for Health Affairs and The Journal of Ambulatory Care Management. He is an advisor to the Lundberg Institute and to several for-profit healthcare organizations. In his spare time, Brian is an offshore sailor. 05:10 Is the HMO model of primary care a good model? 07:48 “Industrialized medicine is exciting.” 08:59 What does primary care have the opportunity to do? 09:21 “The problem that goes along with that is that now immense amounts of money are being infused into primary care organizations.” 10:15 Where does direct primary care and advanced primary care fit into this model? 13:35 “At the end of the day, what primary care really needs to be about is … the management of life issues as well.” 14:05 EP295 with Rebecca Etz, PhD.14:19 “Better relationships quantifiably translate to better care.” 21:48 “Almost nobody in healthcare wants any of this to happen.” 23:58 Why the huge amounts of money being invested into primary care is actually a big problem. 28:11 “We should be able to get wildly better health outcomes for about 40% to 45% of the money that we're currently spending.” You can learn more by emailing Brian at bklepper@worksitehealthadvisors.com. @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp Is the HMO model of primary care a good model? @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp “Industrialized medicine is exciting.” @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp What does primary care have the opportunity to do? @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp “The problem that goes along with that is that now immense amounts of money are being infused into primary care organizations.” @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp Where does direct primary care and advanced primary care fit into this model? @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp “At the end of the day, what primary care really needs to be about is … the management of life issues as well.” @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp “Better relationships quantifiably translate to better care.” @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp “Almost nobody in healthcare wants any of this to happen.” @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp Why the huge amounts of money being invested into primary care is actually a big problem. @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp “We should be able to get wildly better health outcomes for about 40% to 45% of the money that we're currently spending.” @bklepper1 discusses #primarycare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #pcp Recent past interviews: Click a guest's name for their latest RHV episode! 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, Josh LaRosa, Dr David Carmouche (EP316), Bob Matthews, Dr. Douglas Eby (AEE14), Dr Sheldon Weiss, Dan Strause and Drew Leatherberry, Dr Douglas Eby (EP312), Ge Bai  

Purpose is critical for a thriving life. As an example, Viktor Frankl lived through three concentration camps during WW II. He endured these concentration camps as the physician for the prisoners. One thing that he discovered was that if you weren't shot or starved outright by the Nazis, purpose was a big predictor of whether you would survive. If a prisoner lost their purpose, they would start getting sick and, soon, start dying. That was really profound to him. So much so that he wrote, "Woe to him who saw no more sense in his life, no aim, no purpose, and therefore no point in carrying on. He was soon lost". Dr. Victor Strecher carries on this tradition of pursuing purpose after losing his 19-year-old daughter to a heart condition. After months of grieving, and teetering on the edge of suicide, he asked himself, “How do I find meaning or purpose from this? Can I repurpose my life after this?" As he studied purpose, he soon realized this purpose is good for everybody. And after he rediscovered his purpose, he began teaching the what, why and how of purpose to others. What he has done in his life is truly a marvel. About Dr. John’s Guest: Vic Strecher is a renaissance man. He is a professor at the University of Michigan’s Schools of Public Health and Medicine. An innovative teacher and researcher, in 1995 he founded the UM Center for Health Communications Research, studying the future of digitally-tailored health communications when fewer than 15% of Americans had Internet access. He’s also an entrepreneur, founding HealthMedia, a digital health coaching company that was sold to Johnson & Johnson in 2010. More recently, Vic created Kumanu, a digital platform designed to help individuals and organizations live more purposefully. Vic and the organizations he founded have won numerous national and international awards, including two Smithsonian Awards, the Health Evolution Partners Innovations in Healthcare Award, and the National Business Coalition on Health’s Mercury Award. In 2010, Vic won the University of Michigan’s Distinguished Innovator Award. In late 2017, Dr. Strecher was the Donald A. Dunstan Foundation’s “Thinker in Residence” in Adelaide, Australia to develop a “Purpose Economy” of business, government, and communities. Hi 2009 TedMed presentation has been cited by MPHonline as one of the “Top 10 Ted Talks on Public Health.” Vic’s latest neuroscience, behavioral, and epidemiologic research; his two books, Life On Purpose and the graphic novel On Purpose; and his business Kumanu, are focused on the importance of developing and maintaining a strong purpose in life. If you like what you've heard at The Evolved Caveman podcast, support us by subscribing, leaving reviews on Apple podcasts. Every review helps to get the message out! Please share the podcast with friends and colleagues. Follow Dr. John Schinnerer on | Instagram | Instagram.com/@TheEvolvedCaveman | Facebook | Facebook.com/Anger.Management.Expert | Twitter | Twitter.com/@JohnSchin | LinkedIn | Linkedin.com/in/DrJohnSchinnerer Or join the email list by visiting: GuideToSelf.com Please visit our YouTube channel and remember to Like & Subscribe! https://www.youtube.com/user/jschinnerer Editing/Mixing/Mastering by: Brian Donat of B/Line Studios www.BLineStudios.com Music by: Zak Gay http://otonamimusic.com/

On PopHealth Week our guest today making an encore appearance is Brian Klepper, PhD, a healthcare analyst, commentator and entrepreneur who relentlessly focuses his attention on health care market dynamics and the drivers of the cost crisis. He is Principal of Healthcare Performance, Inc. and Worksite Health Advisors, both specialized health benefits consulting firms connecting high performance, high impact health care organizations with organizational health care purchasers and health industry players. He is a former owner and Principal of a worksite clinic/medical risk management firm, and a former CEO of the National Business Coalition on Health (NBCH), representing 52 regional business health coalition and some 5,000 organizational health benefits purchasers. Much of Brian’s work has focused on the mechanisms that underlie America’s healthcare cost crisis and how institutionalized clinical and business practices have distorted care and cost patterns, driving unnecessary cost. His perspective favors patients, whose medical care often exposes them to needless physical risk, and purchasers, whose health care costs are double those in other developed nations, creating a cascade of negative economic impacts. Join us! ==##==  

Sean Sullivan, JDSean Sullivan is the Co-Founder, President and CEO of the Institute for Health and Productivity Management, as well as the WorkPlace Wellness Alliance which was created by the World Economic Forum, now managed and sustained by the Institute. Founded in 1997, the Institute is a global enterprise that serves as a catalyst and champion for a growing international movement to establish health as the new “human capital asset” and source of competitive workforce advantage for the 21st century economy.Sean speaks regularly at Forums in Europe and the United Kingdom and has held training and certification academies in Brazil, China and the United Arab Emirates. Prior to founding the Institute with two physicians, Mr. Sullivan was the original President and CEO of the National Business Coalition on Health for five years, and spent ten years as a Washington-based health economist and policy analyst – as a fellow at the American Enterprise Institute (AEI) for Public Policy Research, and as Executive Vice President of New Directions for Policy. Mr. Sullivan holds degrees in economics from Harvard and law from Stanford.John Marchica, CEO, Darwin Research GroupJohn Marchica is a veteran health care strategist and COO of Darwin Research Group, a health care market intelligence firm specializing in health care delivery systems. He’s a two-time health care entrepreneur, and his first company, FaxWatch, was listed twice on the Inc. 500 list of fastest-growing American companies. John is the author of The Accountable Organization and has advised senior management on strategy and organizational change for more than a decade.John did his undergraduate work in economics at Knox College, has an MBA and M.A. in public policy from the University of Chicago, and completed his Ph.D. coursework at The Dartmouth Institute. He is a faculty associate in the W.P. Carey School of Business and the College of Health Solutions at Arizona State University and is an active member of the American College of Healthcare Executives.About Darwin Research Group   Darwin Research Group Inc. provides advanced market intelligence and in-depth customer insights to health care executives, with a strategic focus on health care delivery systems and the global shift toward value-based care. Darwin’s client list includes forward-thinking biopharmaceutical and medical device companies, as well as health care providers, private equity, and venture capital firms. The company was founded in 2010 as Darwin Advisory Partners, LLC and is headquartered in Scottsdale, Ariz. with a satellite office in Princeton, N.J.

We have gotten ourselves into this pickle: Americans—all of us as taxpayers, as patients, as employees, as employers—spend exorbitantly for highly variable results. Great work, great health care in some areas by some great physicians and their teams, and then voluminous other areas rife with overtreatment, errors, abysmal chronic care management, predatory pricing by entities owned by private equity or with billing departments gone wild. Who will be our knight in shining armor when it comes to fixing health care in the United States today? Will it be legislators? Will it be our current crop of large health care stakeholders? Will it be a self-proclaimed disrupter like Amazon or Haven Healthcare, that Amazon, Chase, and Berkshire Hathaway collaboration? In this health care podcast I speak with Brian Klepper, PhD. Brian has opinions on these questions. Spoiler alert: Some of the entities that Brian points to as intrinsic to the mission of fixing American health care are brokers who are not compensated in secret by insurance carriers. He also calls out primary care physicians and new primary care models as crucial. If you’re looking for brokers of this kind, go to healthrosetta.org for a list of them. You could also listen to my podcast with David Contorno (EP186). On the primary care side of the equation, listen to my chat with Jed Constantz (EP209) and also the one with Alex Lickerman (EP184). In case you haven’t heard of him, Brian is a health care analyst, commentator, and also an entrepreneur. He’s executive vice president at the Validation Institute, executive analyst and editor at the Health Value Institute, and principal of Healthcare Performance, Inc, a health care strategy and business development practice. He’s also principal of Worksite Health Advisors, a benefits consultancy. Formerly, Brian served as the CEO of the National Business Coalition on Health. You can learn more at careandcost.com, by emailing bklepper@gmail.com, and by visiting validationinstitute.com. Brian Klepper, PhD, is executive vice president of the Validation Institute, principal of Worksite Health Advisors, and a nationally prominent health care analyst and commentator. He speaks, writes, and advises extensively on high-performance health care, primary care clinics, and the management of clinical and financial risk. His current consulting focus is on health care organizations that consistently deliver better health outcomes at lower cost than conventional approaches in high-value niches. In his role at the Validation Institute, he spearheads programs that identify, validate, celebrate, and promote true high-performance health care programming. 02:54 How solving the health care crisis can be done within the marketplace. 04:13 “Half or more of everything that we do in health care is unnecessary or inappropriate.” 04:29 “We have come to depend upon doing the wrong thing.” 04:39 How we fix health care when the vested interests have no incentive to do so. 08:50 Money on the table vs doing the right thing. 10:24 What we should be doing right now to fix this before we price ourselves out of health care. 12:34 Why the health industry does have a marketplace. 18:29 Laser focusing initiatives to fix health care by fixing the biggest costs of health care and following the money. 19:37 “We’re not just talking about managing care; we’re talking about managing health care, clinical, and financial risks.” 22:34 EP186 with David Contorno. 22:50 Lee Lewis of Gallagher. 24:25 How the Validation Institute identifies high-performance vendors. 25:54 Why working with a broker is essential for employers in order to find health providers they can trust. 28:05 Health Rosetta, founded by Dave Chase. 28:17 An outcomes-accountable health care place. 28:30 Brian’s advice on what one of the “BUCAs” should be doing right now. 29:18 “Are they willing to make less money?” 30:53 “Big change is coming.” 31:15 Brian’s advice to organizations to prepare for and fix health care’s coming inflection point. 34:11 Places to watch that are ahead of the rest of the nation in making these changes: the South. You can learn more at careandcost.com, by emailing bklepper@gmail.com, and by visiting validationinstitute.com. How can the #healthcare crisis be solved by the #marketplace? @bklepper1 of @careandcost discusses on our #healthcarepodcast. #podcast #digitalhealth #healthcost #healthincentives “Half or more of everything that we do in #healthcare is unnecessary or inappropriate.” @bklepper1 of @careandcost discusses on our #healthcarepodcast. #podcast #digitalhealth #healthcost #healthincentives “We have come to depend upon doing the wrong thing.” @bklepper1 of @careandcost discusses on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcost #healthincentives How do we fix #healthcare when vested interests have no incentive to do so? @bklepper1 of @careandcost discusses on our #healthcarepodcast. #podcast #digitalhealth #healthcost #healthincentives Money on the table vs doing the right thing. @bklepper1 of @careandcost discusses on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcost #healthincentives Does the #healthindustry have a marketplace? @bklepper1 of @careandcost discusses on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcost #healthincentives Following the money to fix health care. @bklepper1 of @careandcost discusses on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcost #healthincentives “We’re not just talking about managing care; we’re talking about managing health care, #clinical, and #financialrisks.” @bklepper1 of @careandcost discusses on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcost #healthincentives How does the #validationinstitute identify high-performance vendors and #providers? @bklepper1 of @careandcost discusses on our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthcost #healthincentives

In this podcast, John Marchica has a conversation with Sean Sullivan, JD on the need to address not just physical wellness in the workforce, but also its wellbeing. Sean and John speak on the growing trend of value-based care, not just in the United States, but also internationally. Here are some of the interview highlights: What are the definitions of wellness and wellbeing in the workforce, and where are we currently? How do companies measure and address wellness? How do they tackle the harder task of workforce wellbeing? The changing outlook of seeing employees as human capital, their wellbeing as an investment rather than a cost. Speaker Bios Sean Sullivan is the Co-Founder, President and CEO of the Institute for Health and Productivity Management, as well as the WorkPlace Wellness Alliance which was created by the World Economic Forum, now managed and sustained by the Institute. Founded in 1997, the Institute is a global enterprise that serves as a catalyst and champion for a growing international movement to establish health as the new “human capital asset” and source of competitive workforce advantage for the 21st century economy. Sean speaks regularly at Forums in Europe and the United Kingdom and has held training and certification academies in Brazil, China and the United Arab Emirates. Prior to founding the Institute with two physicians, Mr. Sullivan was the original President and CEO of the National Business Coalition on Health for five years, and spent ten years as a Washington-based health economist and policy analyst – as a fellow at the American Enterprise Institute (AEI) for Public Policy Research, and as Executive Vice President of New Directions for Policy. Mr. Sullivan holds degrees in economics from Harvard and law from Stanford. John Marchica is a veteran health care strategist and CEO of Darwin Research Group. He was the founder and CEO of FaxWatch, a leading business intelligence and medical education company and two-time member of the Inc. 500 list of America's fastest growing companies. John is the author of The Accountable Organization and has advised senior management on strategy and organizational change for more than a decade. John earned his B.A. in economics from Knox College, an MBA and M.A. in public policy from The University of Chicago, and completed his Ph.D. coursework and doctoral exams in clinical epidemiology and health economics at The Dartmouth Institute for Health Policy and Clinical Practice. He is a faculty associate in the W.P. Carey School of Business and the College of Health Solutions at Arizona State University. About Darwin Research Group Darwin Research Group Inc. provides advanced market intelligence and in-depth customer insights to health care executives, with a strategic focus on health care delivery systems and the global shift toward value-based care. Darwin’s client list includes forward-thinking biopharmaceutical and medical device companies, as well as health care providers, private equity, and venture capital firms. The company was founded in 2010 as Darwin Advisory Partners, LLC and is headquartered in Scottsdale, Ariz. with a satellite office in Princeton, N.J.

Mike Thompson is the CEO of the National Alliance of Healthcare Purchaser Coalitions, formerly, the National Business Coalition on Health.  The National Alliance is an association of over 50 regional coalitions whose members provide healthcare coverage to over 45 Million Americans. Prior to the National Alliance, Mike was a partner at PricewaterhouseCoopers (PwC) and has played a leadership role in the destigmatization of mental and behavioral health. One of Mike's signature initiatives at the National Alliance is the Wellbeing Initiative which recognizes that if organizations are going to substantially improve their employees' health and engagement, the focus must move beyond "wellness" to "wellbeing."   Under his direction, the National Alliance has gathered a team of nationally-recognized experts to produce educational wellbeing workshops for its constituent coalitions and their members. Mike discusses this initiative in the broader context of the value of employee wellbeing. By way of example, he discusses why a "whole person" approach beyond just physical health to focus on, say, stress actually may reap greater and quicker returns both in terms of engagement and reducing coverage costs than focusing on obesity."

Wednesday, September 13th, 2017 our special guests are: Brian R. Klepper, PhD is a  principal at Healthcare Performance, Inc. and Principal at Worksite Health Advisors . Klepper is a health care analyst, commentator and entrepreneur who has specialized on health care market dynamics and the drivers of the cost crisis. He is a former CEO of the National Business Coalition on Health (NBCH), representing 52 regional business health coalitions, about 5,000 employer and union health benefits purchasers and some 35 million people. Linda K. Riddell, M.S., Principal, Health Economy, LLC. Ms. Riddell has worked in health policy and health care since 1985. Her recent public sector work has included projects for Maine’s Medicaid program. Linda is an independent population health scientist, consulting with private and public sector organizations on measuring outcomes.  She is also the Strategic Initiatives Manager for the Validation Institute, Inc.  She will be in charge of reviewing the Health Value Award applicants' measurable results.   We'll discuss current market conditions and the HealthValue Awards Program a co-venture of World Congress, in partnership with The Health Rosetta Institute and The Care Innovations Validation Institute. Join us!

Wednesday, September 13th, 2017 our special guests are: Brian R. Klepper, PhD is a  principal at Healthcare Performance, Inc. and Principal at Worksite Health Advisors . Klepper is a health care analyst, commentator and entrepreneur who has specialized on health care market dynamics and the drivers of the cost crisis. He is a former CEO of the National Business Coalition on Health (NBCH), representing 52 regional business health coalitions, about 5,000 employer and union health benefits purchasers and some 35 million people. Linda K. Riddell, M.S., Principal, Health Economy, LLC. Ms. Riddell has worked in health policy and health care since 1985. Her recent public sector work has included projects for Maine’s Medicaid program. Linda is an independent population health scientist, consulting with private and public sector organizations on measuring outcomes.  She is also the Strategic Initiatives Manager for the Validation Institute, Inc.  She will be in charge of reviewing the Health Value Award applicants' measurable results.   We'll discuss current market conditions and the HealthValue Awards Program a co-venture of World Congress, in partnership with The Health Rosetta Institute and The Care Innovations Validation Institute. Join us!  

On the Wednesday, Februart 3rd, 2016 broadcast at 12 Noon Pacific/3PM Eastern our special guest is Brian Klepper, Ph.D. (follow on twitter via @bklepper1). Dr. Klepper: 'is a health care analyst, commentator and entrepreneur who has specialized on health care market dynamics and the drivers of the cost crisis. He is President of Health Value Direct, a benefits brokerage connecting high performance, high impact health care organizations with organizational health care purchasers. He is a former CEO of the National Business Coalition on Health (NBCH), representing 52 regional business health coalitions, about 5,000 employer and union health benefits purchasers and some 35 million people.' Join co-hosts Fred Goldstein (@fsgoldstein) and Gregg Masters (@2healthguru) as we glean insights from this disruptive innovator. Enjoy!

On a special broadcast Thursday, October 9th, 2014 at 12 Noon Eastern and 9AM Pacific we continue the 2nd installment in the series 'Countdown to the Population Health Alliance PHA Forum 2014'.   The PHA Forum is an annual 'go to' industry standard for the entire ecosystem of population health management stakeholders including innovators in accountable care, care management and the general pursuit of the triple aim - better care, improved outcomes and lower per capita cost. This dynamic community gathers in Scottsdale, Arizona from December 10th - 12th.   On this broadcast we hear from health care analyst and the CEO of The National Business Coalition on Health (NBCH) who will supply an overview of the large employer persepctive and by proxy the essesnce of the purchaser communities message to the domestic provider comminuty writ large. More about NBCH: The National Business Coalition on Health (NBCH) is a national, non-profit 501(c)6, membership organization of purchaser-led health care coalitions. NBCH and its members are dedicated to value-based purchasing of health care services through the collective action of public and private purchasers. NBCH seeks to accelerate the nation's progress towards safe, efficient, high-quality health care and the improved health status of the American population. NBCH has a membership of 53 coalitions across the United States representing over 4,000 employers and approximately 35 million employees and their dependents. A detailed agenda for the PHA Forum 2014 is available here. For more information, or to register click here.