Going Back to the Future: How Aetna is Redefining Itself and the Current State of Value-Based Care | Dr. Ali Khan, Chief Medical Officer of Medicare, Aetna/CVS Health

What does it actually look like to run clinical strategy inside a vertically integrated giant when payor-provider trust is at a historic low? Blake Madden sits down with Dr. Ali Khan, Chief Medical Officer for Aetna Medicare, to get the answer to this question and more. Dr. Khan has been employee 34 at Iora Health, a hospitalist/UM and CM medical director at CareMore, a division leader who scaled Oak Street Health from 23 to 75 clinics through the pandemic, and now he's trying to make CVS's vertical integration thesis actually work at the last mile. Key Topics: The real state of value-based care (spoiler: it's not as far along as anyone claims), Why Aetna is bringing nurses back to hospital bedsides, How behavioral economics is driving member engagement, and What AI should actually be used for in MA Amazing learnings in healthcare operations from someone who's practiced medicine and run P&Ls across every care model that matters. --- 00:00:00 - Introduction to Dr. Ali Khan and His Background 00:09:48 - The Evolution of Value-Based Care 00:18:45 - High Value Care vs. Value-Based Care 00:22:31 - Aetna's Transformation and Integrated Care Models 00:32:20 - Behavioral Economics in Healthcare 00:35:16 - Creating a Connected Ecosystem 00:38:54 - Navigating Structural Challenges in Healthcare 00:45:20 - Building Trust Between Payers and Providers 00:49:13 - Collaborative Care Models for Better Outcomes 00:55:11 - Triage of Current Healthcare Challenges 01:00:21 - Lessons from Healthcare Acquisitions --- Aetna Medicare: https://www.aetna.com/medicare.html Follow Dr. Ali Khan on LinkedIn: https://www.linkedin.com/in/alikhan28/ For expert analysis on healthcare M&A, strategy, finance, and markets, join 67K+ readers of Blake Madden’s Hospitalogy newsletter. Subscribe here: https://hospitalogy.com/ Like our episodes? Be sure to leave us a review, and share our podcast with colleagues.