Ep 56 – Aspirational Healthcare: Employer-Led Disruptive Change and the Nuka System of Care, with Darrell Moon

What this episode covers

Only 25% of health is in the control of the healthcare system. So why does our country continue to pump the majority of its health care spending into a deficit-based health care model that focuses solely on the science of doing something to the individual? Aspirational Healthcare is a better answer, spending 75% on supporting the individual in the ownership and management of their own health. And employer-driven reform is the key that will unlock aspirational healthcare for millions nationwide. Our guest this week is Darrell Moon, CEO of Orriant, a company that changes the dynamics of health care and gives employers control over the ever-increasing costs of the health care benefits they offer their employees. Join us as we discuss the Nuka System of Care in Alaska, employer-driven reform, and the principles of Aspirational Healthcare – all are important milestones on the race to value! Episode Bookmarks: 1:45 What is an Aspirational Healthcare System? 2:50 Background on Darrell Moon, CEO of Orriant 3:20 Background on Nuka System of Care (the role model for Aspirational Healthcare) 4:30 The Aspirational Healthcare Conference (July 14-15, 2021) 5:20 Darrell talks about his recent discovery of Nuka System of Care and how it inspired him 6:00 Southcentral Foundation instituted a total system-wide transformation of care with Nuka 7:30 Referencing Dr. Doug Eby of Nuka and the requirements of an ideal health system 8:45 Training workers to be “partnering influencers” rather than just diagnosticians and treatment planners 9:40 The current healthcare system has an improperly skilled workforce (Aspirational Healthcare addresses this first!) 11:55 CQI drives us to meet the needs of the customer, but it doesn’t work in FFS 12:45 Business Leaders and the Federal Government are really the true customer in the American healthcare system (not the patient!) 14:00 Darrell talks about why employers are a transformational force to a more customer-centric health ecosystem 16:00 Employers need to create incentives in their healthcare purchasing model to empower change 17:00 Why would the system ever change on its own? Employers must take the lead! 18:00 Darrell explains an Aspirational Healthcare investment strategy for employers to follow 19:00 Creating a “massively powerful” primary care system 19:30 The importance of influencers in improving patient outcomes 20:30 Investing in Health Savings Accounts (HSAs) for employees to pay deductibles and copays 21:50 ‘Poor health’ costing employers $530B on top of the $880B they already spend in premium dollars! 23:30 Southcentral Foundation demanded “perfect healthcare” in creating Nuka twenty years ago (and it worked!) 24:30 Lessons learned from Haven’s failure being applied with Amazon Care and Walmart Health 24:50 The founding of employer-sponsored group health insurance in WWII 25:50 The leadership of Regina Herzlinger in creating Health Reimbursement Accounts 27:20 Darrell discusses what Amazon Care will look like when it completes its’ healthcare strategy! 28:30 Employers will move away from Employer-Sponsored Group Health Insurance in the next ten years! 30:00 Nuka’s relationship-based healthcare system is centered around “massively powerful primary care” 31:00 Building a Direct Primary Care practice based on a prescription model 32:45 Primary Care Quarterbacking to reduce medical errors associated with lack of specialty care coordination 33:30 Direct Primary Care is doing what Nuka did by creating a “massively powerful p...

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