1017 - Getting More Health Out of Health Care—By Paying for It

from Public Health On Call · host Johns Hopkins Bloomberg School of Public Health

About this episode: Private insurers and the government typically reimburse providers based on metrics of appointments and procedures. An innovative approach to health care finance asks doctors and clinicians to measure success differently: by tangible health outcomes. In this episode: Dr. Darshak Sanghavi details the early promise of this approach and how it's empowering communities to focus on better health. Guests: Dr. Darshak Sanghavi is Chief Medical Officer at Machinify and a former program manager at the Advanced Research Projects Agency for Health (ARPA-H). Host: Dr. Josh Sharfstein is distinguished professor of the practice in Health Policy and Management, a pediatrician, and former secretary of Maryland's Health Department. Show links and related content: Transforming Population Health — ARPA-H's New Program Targeting Broken Incentives—New England Journal of Medicine ARPA-H launches program to reduce preventable deaths—ARPA-H Estimating Longitudinal Risks and Benefits From Cardiovascular Preventive Therapies Among Medicare Patients: The Million Hearts Longitudinal ASCVD Risk Assessment Tool—Circulation Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌PublicHealthPod on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.

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This episode was published on March 2, 2026.

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