EPISODE · May 15, 2019 · 39 MIN
Episode 9: Being a True Fiduciary with Mark Watson and Kent Thomas (Part 2)
from Healthcare Solutions · host Jean VanNoppen
00:00 Intro00:45 Mark Watson and Kent Thomas01:47 In last week’s episode04:48 Now for more with our guests05:00 Plan design is SO important! Learn how to design your plan from the bottom up06:16 In what other part of our economy would we conduct our affairs this way…NOWHERE!08:06 You’re not in control until you know where the dollars are going09:00 Lots of plans are including DPC as an option but they’re paying double09:08 Primary care physicians can perform 85% of what patients need10:30 In DPC, a fixed, capitated cost is mutually agreed upon11:50 Do I have $10 today?12:39 That medical home becomes the “healthcare hub”13:00 Professional oversight is weaved in13:43 Can DPC show a natural reduction in the prescribing of opioids?16:00 Primary care oversight helps protect employees18:32 Local governments filing class action lawsuits19:42 If you don’t know where your dollars are going you can’t manage it21:15 I want to know why the costs are coming in the way they are12:32 Transparent pricing model, with audit rights, etc.23:05 We have an embedded pharmacist in our plan to provide consulting on costs24:28 DPC is incentivized to provide healthcare on behalf of the employer, who pays them28:45 “keys to the kingdom” you have to understand where the money is going and you have to get consistency in consumer behavior30:09 What is next?31:08 RBP, when implemented and managed correctly, puts employers in the driver’s seat31:36 Hospitals have purchased entry practices to “feed” the rest of the system32:36 So many hospitals were founded as non-profit, public entities…but today what have they become?33:56 RBP gives you license to start asking “do I really need a PPO network”?35:26 PPO networks…do we need them anymore?36:30 RBP loves rural hospitals so long as they have high quality37:46 Medicare is the “reasonable profit” benchmark38:56 Local Governments should hear this message39:17 Thank you!! #letsfixhealthcare www.custombenefits.work
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What this episode covers
In part 2 of Cristy's discussion with Mark Watson and Kent Thomas, they touch on several topics like the unique opportunity DPC doctors have to provide care coordination for their patients when they need to leave the primary care home and enter a more complex part of the healthcare system. Data tools continue to be a recurring theme. Where your data comes from and to what extent you have access to it allows you to drill down on the cost and get control over it. Without those data tools, the costs simply control you. Listen here as we continue to tell the impressive story about the exemplary health plan at Union County, NC.
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Episode 9: Being a True Fiduciary with Mark Watson and Kent Thomas (Part 2)
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