Ep 81 – Finding Scale in Population Health through Retail-Based Primary Care, with Dr. David Nash, Marcus Osborne, and Darrell Moon

What this episode covers

In recent years, the role of retail in health care has grown beyond the co-location of clinics and pharmacies, with many large retailers now expanding their care delivery practices to include full-service health centers, telehealth offerings, and home delivery of pharmaceuticals. Retailers like Walmart, CVS, Amazon, Walgreens, and Target are all pursuing a healthcare strategy. The opportunity to bring consumerism to the forefront in healthcare has never been more promising, and these retail companies are looking to deliver consumer-centric innovation in a way that the traditional healthcare system has been unable to. In addition to the provision of a high-touch, technology-enabled primary care delivered in existing brick-and-mortar facilities that are highly convenient and familiar to patients, these companies have begun to leverage other assets, including online platforms, robust supply chain and delivery infrastructures, and access to capital to grow their health care offerings. In this episode, you are going to hear from three thought leaders with unique perspectives on this important topic. We have Dr. David Nash (Founding Dean Emeritus at Jefferson College of Population Health), Marcus Osborne (Senior Vice President of Walmart Health), and Darrell Moon (the Founder and CEO of Orriant). Episode Bookmarks: 02:00 Retail companies (e.g. Walmart, CVS, Amazon, Walgreens) are bringing consumer-centric innovation to healthcare 03:15 Introductions to Marcus Osborne (SVP, Walmart Health), Dr. David Nash (Dean Emeritus, Jefferson College of Population Health), and Darrell Moon (CEO, Orriant) 04:30 The traditional American healthcare is one of the least consumer-centric models ever developed in a capitalist economy 06:25 Dr. Nash describes the current socioeconomic challenges of Philadelphia as a construct for how poverty contributes to adverse health outcomes 08:50 Dr. Nash reference the seminal article by Dr. David Kindig, “What is Population Health?” and how population health relates to SDOH and institutional racism 11:30 Is retail-based primary care the answer to improved population health through more effective patient engagement? 13:00 Referencing Fred Lee’s book, “If Disney Ran Your Hospital” in thinking about how we can optimize the patient experience and deliver personalized service 14:40 Marcus describes how supply and demand challenges of primary care in the effective management of chronic disease 16:30 “The biggest issue we face in healthcare is variation in care delivery.” 18:00 Technology, innovation, and interdisciplinary care teams as the ultimate solution to address population health challenges 19:00 The role of the “Professionally Nice Person” in consumer-centric care delivery and how Community Health Workers can be used to improve outcomes 20:00 Our challenge is getting the system comfortable with the reimagining of team-based care (not the patients!) 23:00 Darrell describes the importance of “massively powerful primary care” and the power of relationships 25:00 Nuka System of Care – Southcentral Foundation as a leading example of the “best healthcare system in the world” and how it emphasizes relationships, trust, and patient convenience 30:00 Marcus describes the absurdity of the “balanced interest” model in designing healthcare reforms (the interests of the consumers are all that matters!) 34:00 Dr. Nash on how unexplained clinical variation supersedes SDOH in importance when it comes to population health 35:00 Keeping only the wealthy healthy in a retail-based care model will perpetuate health inequities 37:00 Life expectancy is determined primarily by the zip code to which you live (e.g.