The Reality Behind the Movement to Value-Based Care
October 27, 2015

Expert Interview: The Reality Behind the Movement to Value-Based Care

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Tags: Podcast

Gil Addo, CEO and Co-Founder of RubiconMD, was a recent guest on our TechnologyAdvice Expert Interview SeriesIn this episode, we discuss enhancing primary care, trends in value-based care, and progress and challenges for digital health. 

Below are Gil Addo’s top four insights from the conversation.

1. The foundation of good healthcare is a powerful primary care system.

That’s how you build and how you improve healthcare in this country. One of the things that you see is if people have a good relationship with a primary care provider and they can get appropriate preventative medicine and they can get early diagnosis and treatment of certain conditions, then their overall health and their quality of life is better down the road. People feel more comfortable, costs are down, the system sees better outcomes.

Primary care is really the fundamental building block around which everything else in healthcare has to be layered on top of. We wanted to build something that really focused around bringing things to the fingertips of a provider and giving them tools that allow them to do what they do even better.

2. There’s a movement to value-based care.

There’s a lot of interest in being able to arm primary care providers with tools that allow them to actually take on more risk in a value-based setting, even something like chiropractic software. Payers are looking to push some of the risk they’ve traditionally held to providers and to systems and just give them the tools to better manage that risk. We’re a tool that helps primary care better manage their customers, their patients, take on more risk, and to be able to handle that by enhancing their capacity.

3. A lot of the rhetoric and the goals around value-based care are very different than the reality.  

Every day we talk to and sell to organizations that are value-based and focused around providing cost-effective care. A lot of what people think is happening is very different from the reality of how those organizations are approaching this. Most organizations you see that are at large systems are just carving out small populations and slowly dipping their toes in the water around value-based care in order to test it out. You’re not seeing systems just transition wholly and fully over to value-based care.

The unintended consequence of that is you’ve got people with a foot in both canoes — one in the service world and one in the value-based world. So they’re fighting themselves and the small value-based care population is starved for resources because it’s a test case. Nobody wants it to completely take over the organization too soon — so we see those groups tend to not actually transition. They just have this small test case, so the small value-based care population never really fully gets there. We have made a concerted effort to try to understand the organizations and not fight against organizations that aren’t quite at that value-based care level.

4. Health2.0 will be a showcase of the best minds, technologies, and resources worldwide.

There are so many exciting things — trends and people doing things in the employer space. I’m looking forward to hearing others present and just hearing more about what’s out there. It’s a really, really exciting time right now in digital health.

The conference reflects that and the excitement around people being very taken by the things happening. I’m excited to see the things that other people are doing. I’m excited to hear the other groups demo and see the cool technologies.

You can learn more about Health2.0 and register for the upcoming conference here

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