Episode 6: Hope for Rural Healthcare with Carl Schuessler (Part 1)

00:00  intro00:42  who is Carl Schuessler00:50  rural health is in jeopardy01:08  community healthcare gets a boost with Carl's new client01:33  hospital systems are employers too...and they need help02:24  started in 201702:36  Lee Gross, DPC guru and visionary03:05  rural hospitals all over the country are struggling03:28  demographics and local economy are huge factors04:25  even sending their own employees were having to go elsewhere for certain procedures05:05  some hospitals haven't learned how to think outside their own box05:32  hospitals need to get their own house in order06:28  current systems were not minding the store06:48  Carl identified a variety of risks that were not being attended to07:19  remove ALL barriers to employees who need to do better 07:40  be like George Costanza and do the opposite!08:03  made the hospital their own PBM08:20  pharmacy spend should see dramatic reduction09:00  pharma savings should outpace Reference-Based Pricing savings by a lot in this case09:23  avoidance of care because of disconnected care is a problem09:47  bringing Direct Primary Care right into the hospital setting for hospital employees was important11:00  integrating DPC right into the plan design11:43  partnering with a DPC provider is key11:56  80% of employees enrolled in the DPC option12:27  identified specific employee needs that were resolved immediately14:21  preconceived notions don't apply here15:07  Carl talks about his early steps with new client16:09  Fair Co$t Health Plan effective 1/1/2019 for new client16:31  hospital should see increased revenue just because of this change16:45  community outreach planned16:58  community built healthcare vs. insurance company built healthcare17:17  partnering with local, independent pharmacy17:43  plan design steerage17:53  assemble the local care team18:16  dis-intermediate the players and create the love triangle18:42  employers paying extra for so many layers of extraneous intermediaries19:17  it only took a 157-employee group to get it done19:40  local employers within vicinity will benefit20:20  pregnancy claims mitigated with cash based negotiating22:20  social determinants of health?  quit talking and start doing!22:43  wrap up22:51  thank you and #letsfixhealthcare  visit us at www.custombenefits.work