Dr. K. sits down with Dr. Mark McClellan, Director and Professor of Business, Medicine and Policy at the Duke-Margolis Center for Health Policy at Duke University. They discuss moving from a Fee For Service payment model to Value Based Care payment model by integrating Primary Care Providers (PCPs) with Specialists to create a patient focused model built on high-touch, proactive care. Alongside his colleagues at Duke-Margolis Center, Dr. McClellan is currently directing efforts towards devising health policy strategies that bolster the resilience and interconnectedness of modern-day public health and healthcare systems.

Key Takeaways:

• The future trajectory of healthcare prioritizes a paradigm shift from reactive to proactive approaches, aimed at early detection and intervention to mitigate risks and complications, thereby enhancing quality of life and longevity. A key focus lies in reforming payment models to integrate healthcare providers into a patient-centric framework, emphasizing proactive, high-touch care.
• This transformation extends beyond medical realms to encompass broader socio-economic factors, aiming to address chronic conditions and reduce unnecessary healthcare expenditures.
• Initiatives such as CMS’s exploration of mandatory models for specialty care underscore efforts to drive systemic change towards value-based care. Improved risk adjustment mechanisms and data analytics, exemplified by platforms like SonarMD, contribute to refining healthcare delivery models.

Quote:

“We can’t get to a health care system that rewards and supports better health if we are not measuring it properly and aligning our payments and care models with it.”