We are in a race to make health value work in the country. The imperative to drive health value is no longer an optional transition. The unsustainable upward cost trajectory of U.S. healthcare spending, coupled with declining outcomes and disparity gaps, are leaving vulnerable populations woefully underserved. To win the “race to value” we me must have disruptive innovation, spirited collaboration, democratized knowledge, realignment of the healthcare workforce towards value-based care competencies, and a collective moral purpose to reform our industry.
In this podcast, leaders from the Accountable Care Learning Collaborative (ACLC) interview the top healthcare executives and entrepreneurs to discuss healthcare’s value economy. Race to Value is the show to connect you with other healthcare leaders working to create better value in health, including provider organizations —hospitals and health systems, physician practices, and post-acute providers — health plans, pharmaceutical and life-science firms, health information technology firms, medical device manufacturers, and a multitude of other stakeholders. We are the ideal resource for leaders of healthcare organizations looking to transition to and thrive in the new reality of value-based care.
The race to value is not unlike any other social movement. As a nonprofit organization focused on industry transformation, the ACLC is here to catalyze a movement to value-based care. Patients are being harmed by the current healthcare system which is fraught with perverse financial incentives and structural distortions. Additionally, physicians are experiencing moral injury because they cannot care for patients in the way in which they intended when they began medical training. With its Accountable Care Atlas, a development guide for competency implementation, the ACLC is working with healthcare organizations all over the country to create the workforce of tomorrow.
There is a better way. The Race to Value podcast is here to bring to you the brightest minds making waves in the industry with their leadership and innovation. Our mission is to harness their brainpower to facilitate transformation in our country’s healthcare system. Come join us to listen to these disrupters as they share their vision to reorder the healthcare universe. Now is the time to get inspired -- we can win this race to value.
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We are in a race to make health value work in the country. The imperative to drive health value is no longer an optional transition. The unsustainable upward cost trajectory of U.S. healthcare spending, coupled with declining outcomes and disparity gaps, are leaving vulnerable populations woefully underserved. To win the “race to value” we me must have disruptive innovation, spirited collaboration, democratized knowledge, realignment of the healthcare workforce towards value-based care competencies, and a collective moral purpose to reform our industry.
In this podcast, leaders from the Accountable Care Learning Collaborative (ACLC) interview the top healthcare executives and entrepreneurs to discuss healthcare’s value economy. Race to Value is the show to connect you with other healthcare leaders working to create better value in health, including provider organizations —hospitals and health systems, physician practices, and post-acute providers — health plans, pharmaceutical and life-science firms, health information technology firms, medical device manufacturers, and a multitude of other stakeholders. We are the ideal resource for leaders of healthcare organizations looking to transition to and thrive in the new reality of value-based care.
The race to value is not unlike any other social movement. As a nonprofit organization focused on industry transformation, the ACLC is here to catalyze a movement to value-based care. Patients are being harmed by the current healthcare system which is fraught with perverse financial incentives and structural distortions. Additionally, physicians are experiencing moral injury because they cannot care for patients in the way in which they intended when they began medical training. With its Accountable Care Atlas, a development guide for competency implementation, the ACLC is working with healthcare organizations all over the country to create the workforce of tomorrow.
There is a better way. The Race to Value podcast is here to bring to you the brightest minds making waves in the industry with their leadership and innovation. Our mission is to harness their brainpower to facilitate transformation in our country’s healthcare system. Come join us to listen to these disrupters as they share their vision to reorder the healthcare universe. Now is the time to get inspired -- we can win this race to value.
Ep 194 – Forming a More Perfect Union: Strategic Advocacy in Value-Based Payment Policy, with Andrew Schwab
The Race to Value Podcast
53 minutes 5 seconds
1 year ago
Ep 194 – Forming a More Perfect Union: Strategic Advocacy in Value-Based Payment Policy, with Andrew Schwab
With 1 out of every 3 U.S. health care dollars emanating from Washington, the federal government is the single largest payer of health services in the United States and accounts for nearly half of all national health spending. As our country ages, these forces are accelerating, with Medicare spending alone projected to increase by 7.5% annually through 2031. Healthcare companies that depend on government revenue – or are downstream from it – must begin to view policymakers as among their most important customers. Impactful organizations that will succeed in the new era of value-based care will learn how to leverage the unparalleled value of internal advocacy. By creating extraordinarily powerful messaging for policymakers to understand what is needed for value-based innovation, we exercise our right to form a more perfect union. While healthcare will never be perfect, we must still strive for perfection – that is at the heart of value-based care transformation in our country!
On the Race to Value this week, we interview Andrew Schwab – a value-based care leader, an intentional strategist, and a master of Washington’s internal game. He brings a bold, brash, no-holds-barred approach to government affairs by coaching and mentoring forward-thinking organizations ready to invest in their internal policy teams so they can thrive in a new era of value-based care. Prior to establishing his own firm, Platform Government Strategies, Andrew advocated in-house on behalf of both nonprofits and private sector organizations. Most recently, Andrew established Oak Street Health’s first government affairs function that put them at the center of the national value-based care conversation and contributed to their recent acquisition by CVS Health.
Episode Bookmarks:
01:30 The federal government is the single largest payer of health services and accounts for nearly half of all national health spending.
02:00 Healthcare companies that depend on government revenue must begin to view policymakers as among their most important customers.
02:30 Introduction to Andrew Schwab and his public affairs consulting firm, Platform Government Strategies.
05:30 The glacial pace of the value-based care movement. Is there truly bipartisan consensus on the aims of health value?
07:00 2030 Medicare VBC Goal (“The government is putting its thumb on the scale for value-based care.”)
08:15 The 1st Amendment right to petition government for redress of grievances (“Advocacy and lobbying are quintessentially American.”)
09:00 “Elected officials and appointed regulators in Washington D.C. and in state capitals react to a different set of incentives.”
10:00 Explosive growth of the Medicare Advantage program.
11:00 Consumer-centric innovation and higher quality of care in MA plans.
11:30 Political controversy with MA (e.g. PE-backing, overpayment concerns, risk adjustment gaming, “perverse business model”)
13:00 Critics of MA ranging from physicians and hospitals protecting the “sanctity of fee-for-service" to those leery of privatization.
13:30 The incredible popularity of MA and the research showing it has superior outcomes.
14:00 Mitigating the potential for upcoding with the new V28 risk adjustment methodology being implemented over next 3 years.
15:00 MA is paid more than Traditional Medicare, but it offers more in terms of benefits (e.g. hearing, dental, vision, population health interventions).
16:00 Private equity investment and payvider innovation (e.g. Oak Street Health, VillageMD, Centerwell, Archwell).
17:00 The importance of Patient-Reported Outcome Measures since process measures alone don’t achieve patient-centeredness.
19:00 “Outcomes should be the most important metric by which we judge the health of our healthcare system.”
20:00 “We need to put providers that participate in value-based relationships at the center ...
The Race to Value Podcast
We are in a race to make health value work in the country. The imperative to drive health value is no longer an optional transition. The unsustainable upward cost trajectory of U.S. healthcare spending, coupled with declining outcomes and disparity gaps, are leaving vulnerable populations woefully underserved. To win the “race to value” we me must have disruptive innovation, spirited collaboration, democratized knowledge, realignment of the healthcare workforce towards value-based care competencies, and a collective moral purpose to reform our industry.
In this podcast, leaders from the Accountable Care Learning Collaborative (ACLC) interview the top healthcare executives and entrepreneurs to discuss healthcare’s value economy. Race to Value is the show to connect you with other healthcare leaders working to create better value in health, including provider organizations —hospitals and health systems, physician practices, and post-acute providers — health plans, pharmaceutical and life-science firms, health information technology firms, medical device manufacturers, and a multitude of other stakeholders. We are the ideal resource for leaders of healthcare organizations looking to transition to and thrive in the new reality of value-based care.
The race to value is not unlike any other social movement. As a nonprofit organization focused on industry transformation, the ACLC is here to catalyze a movement to value-based care. Patients are being harmed by the current healthcare system which is fraught with perverse financial incentives and structural distortions. Additionally, physicians are experiencing moral injury because they cannot care for patients in the way in which they intended when they began medical training. With its Accountable Care Atlas, a development guide for competency implementation, the ACLC is working with healthcare organizations all over the country to create the workforce of tomorrow.
There is a better way. The Race to Value podcast is here to bring to you the brightest minds making waves in the industry with their leadership and innovation. Our mission is to harness their brainpower to facilitate transformation in our country’s healthcare system. Come join us to listen to these disrupters as they share their vision to reorder the healthcare universe. Now is the time to get inspired -- we can win this race to value.
