Ep 121 – Moving to Value in Connecticut: Creating a Transformed Healthcare Ecosystem through Industry Collaboration, with Jeffrey Hogan and Lisa Trumble

What this episode covers

Creating a value-based healthcare ecosystem with the highest quality outcomes at a reasonable cost for employers and their healthcare consumers requires collaboration. In the state of Connecticut, a grassroots community has formed with the mission to create a value-based healthcare ecosystem. The Moving to Value Alliance is a multi-stakeholder community composed of individuals, practices, and organizations deeply rooted in Connecticut’s healthcare environment. They believe that collaboration is the key to solving complex problems and are leading the way to transform healthcare delivery in their state. Joining us this week are two leaders involved in this important movement to employer-based healthcare transformation in Connecticut. With more than 35 years in the health care sector, Jeff Hogan is a consultant to payers and large provider groups for product development and launch and a resource to employers desirous of implementing strategies to manage their health spend. Lisa Trumble is the President and CEO of the Southern New England Healthcare Organization (SoNE HEALTH), a clinically integrated network comprised of six hospitals and 1,700 physicians, which is a for-profit entity owned jointly by Trinity Health Of New England and its employed and independent physicians. In this episode, we talk about healthcare transformation in the state of Connecticut, vertical and horizontal consolidation in the industry, the dysfunctional health benefits market, the need for employer alliances, leading innovators in the marketplace, value-based insurance design, prescription drug costs, healthcare consumerism, and bundled payment innovation. The time to move to value is now! We can create a transformed healthcare ecosystem through industry collaboration. Thank you, Lisa and Jeff, for showing us the way. Episode Bookmarks: 01:30 “Collaboration is the key to solving complex problems.” 01:45 The Moving to Value Alliance - a multi-stakeholder grassroots community creating a value-based healthcare ecosystem for employers in Connecticut 02:00 Introduction to Jeffrey Hogan and Lisa Trumble 03:45 Eric reflects on his recent experience attending the MTVA 2022 Symposium 05:00 The leadership of Dr. Stephen Shutzer and other leaders 06:00 Referencing Michael Leavitt’s book, “Finding Allies, Building Alliances” where he talks about the power of collaboration networks 06:20 “Connecticut is known for being ground zero for most of the BUCA health plans and has also been the land of frozen molasses in value-based care.” 07:00 “Healthcare is opaque and balkanized, and COVID has inspired the opportunity to think about things differently.” 07:30 Transparency, Collaboration, Innovation, Consumer Expectations, and the “Great Resignation” 08:30 Lisa shares her background in value-based care transformation in Massachusetts and how that differs from Connecticut 09:30 “We must break away from the traditional structures of fee-for-service, and pursue clinical integration, innovation, alliances, and partnerships.” 10:00 A new wave of horizontal and vertical consolidation between hospitals and physician practices 12:00 The inevitability of consolidation after the pandemic and how consolidations have not resulted in cost and quality improvements. 12:30 The lack of value-based transformation strategy in health systems and why that is short-sighted 13:00 “The pandemic opened up the doors to innovation in a way that none of us anticipated in every sector of healthcare.” 13:40 Concerns about vertical integration of providers in consolidated payer-led structures 14:20 Lisa shares background on SoNE HEALTH (Southern New England Healthcare Organization) and how they partner with physicians. 15:20 Jeff describes how he has never seen so much change in healthcare in such a short period of time.

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