INBW34: The Absence of Collaboration Between Healthcare Stakeholders: What It Means

The Absence of Collaboration Between Healthcare Stakeholders: What It Means (INBW34) Stacey Richter shares a personal story about her grandfather's fragmented heart failure care to dig into why healthcare stakeholders don't collaborate — and argues that revenue maximization, not technical or regulatory barriers, is the real root cause. WHAT YOU'LL LEARN ✅ Why heart failure patients generate a third of Medicare spending yet readmissions keep rising ✅ The two things required to improve chronic care outcomes: nonfragmented patient journeys and steering patients to the best care setting ✅ Why revenue maximization, not interoperability or HIPAA, is the real barrier to healthcare collaboration ✅ The three kinds of collaboration — along, informing, and navigating the patient journey ✅ Why "stakeholder prejudice" holds back collaboration with organizations, like Pharma, that could add real value WHY THIS MATTERS Fragmented, uncoordinated care isn't an accident — it's the predictable result of a healthcare system built on revenue maximization rather than patient outcomes. Real collaboration requires stakeholders to work with organizations they may not love, and understanding that a lack of collaboration is a symptom, not a mystery, is the first step toward fixing it. === LINKS === 🔗 Show Notes with all mentioned links: Episode Page ✉️ Enjoy this podcast? Subscribe to the free weekly newsletter 🫙 Support the podcast with a small donation to the Tip Jar 📺 Subscribe to our YouTube channel 🎤 Listen on Apple Podcasts 🎤 Listen on Spotify === CONNECT WITH THE RHV TEAM === ✭ LinkedIn ✭ Threads ✭ Bluesky ✭ X 00:00 Introduction 03:07 How do we improve care, especially for chronic care patients? 03:18 What are two important contributors to patient outcomes? 03:40 EP361 with Carly Eckert, MD. 03:56 "We know that financial toxicity is clinical toxicity." 04:09 EP358 with Wayne Jenkins, MD. 06:05 Why can't parties across the healthcare industry seem to collaborate? 08:05 EP366 with Kevin Schulman, MD. 08:07 EP365 with Scott Haas. 08:10 Upcoming episode with Autumn Yongchu and Erik Davis. 08:34 "I would say that a lack of collaboration is a symptom." 10:10 There's lots of evidence that interoperability has been solved. It's been solved for years. 10:37 Upcoming episode with Cora Opsahl. 10:46 EP349 with Lisa Trumble. 10:53 EP354 with Shawn Rhodes. 10:57 EP324 with Nicole Bradberry and Kelly Conroy. 11:04 Upcoming episode with Dave Chase. 11:19 EP367 with Doug Hetherington. 11:25 EP350 with Katy Talento. 11:28 EP294 with Steve Schutzer, MD. 11:50 EP277 with Eric Weaver, DHA, MHA. 13:00 What are the three kinds of collaboration in healthcare? 13:23 Do collaborators need to have equal status in a collaboration? 13:57 "Care can be improved at the population level, at the community level…at the disease or the condition level." 15:10 How is stakeholder prejudice holding healthcare back? 15:42 EP356 with Ge Bai, PhD, CPA. 16:55 "Outcomes-based contracts…we need to figure out how to operationalize them." 17:08 "Colluding and conflict of interest is not cost neutral." 17:30 EP364 with David Muhlestein, PhD, JD.