Casey Means, MD

We I every doctor I know is a good person went into health care for noble reasons. But if you have if you have a hammer, everything looks like a nail. If that's what you know and that's what you can offer people, that is what you're going to offer people.

We I every doctor I know is a good person went into health care for noble reasons. But if you have if you have a hammer, everything looks like a nail. If that's what you know and that's what you can offer people, that is what you're going to offer people.

We I every doctor I know is a good person went into health care for noble reasons. But if you have if you have a hammer, everything looks like a nail. If that's what you know and that's what you can offer people, that is what you're going to offer people.

And especially with cancer, when people are hopeless and desperate and you have something you can do for them and it happens to be really profitable. This this revolving door keeps happening. Yeah. And then just always getting back to systems issues, because that's where Callie and I really focus. You look at some of these things that sound good on paper.

And especially with cancer, when people are hopeless and desperate and you have something you can do for them and it happens to be really profitable. This this revolving door keeps happening. Yeah. And then just always getting back to systems issues, because that's where Callie and I really focus. You look at some of these things that sound good on paper.

And especially with cancer, when people are hopeless and desperate and you have something you can do for them and it happens to be really profitable. This this revolving door keeps happening. Yeah. And then just always getting back to systems issues, because that's where Callie and I really focus. You look at some of these things that sound good on paper.

And I think this is actually a lot what's happening with politicians, is they see these bills, lots of things coming across their desk, and they kind of sound good on paper. It's going to be good for farmers. It's going to be good for absences. It's going to reduce obesity. Sounds great, but the devil's always in the details. You look at what happened with...

And I think this is actually a lot what's happening with politicians, is they see these bills, lots of things coming across their desk, and they kind of sound good on paper. It's going to be good for farmers. It's going to be good for absences. It's going to reduce obesity. Sounds great, but the devil's always in the details. You look at what happened with...

And I think this is actually a lot what's happening with politicians, is they see these bills, lots of things coming across their desk, and they kind of sound good on paper. It's going to be good for farmers. It's going to be good for absences. It's going to reduce obesity. Sounds great, but the devil's always in the details. You look at what happened with...

obamacare and like they they did they did speak about this idea of value-based care which sounds really good it's like we're gonna have we're gonna pay doctors more for better outcomes which which is awesome so a doctor would have to show essentially that they're the patient is getting better and they're doing it for a lower cost that's the value equation and if that happens they get paid more well the

obamacare and like they they did they did speak about this idea of value-based care which sounds really good it's like we're gonna have we're gonna pay doctors more for better outcomes which which is awesome so a doctor would have to show essentially that they're the patient is getting better and they're doing it for a lower cost that's the value equation and if that happens they get paid more well the

obamacare and like they they did they did speak about this idea of value-based care which sounds really good it's like we're gonna have we're gonna pay doctors more for better outcomes which which is awesome so a doctor would have to show essentially that they're the patient is getting better and they're doing it for a lower cost that's the value equation and if that happens they get paid more well the

easiest, by far, evidence-based way to make a patient healthier for a lower cost is to have them eat real food and exercise and go in the sunshine and sleep, right? And manage their stress, obviously. Not drugging them for life. And unfortunately, even that... That whole project got co-opted by industry because what happened was industry got their fingers in it.

easiest, by far, evidence-based way to make a patient healthier for a lower cost is to have them eat real food and exercise and go in the sunshine and sleep, right? And manage their stress, obviously. Not drugging them for life. And unfortunately, even that... That whole project got co-opted by industry because what happened was industry got their fingers in it.

easiest, by far, evidence-based way to make a patient healthier for a lower cost is to have them eat real food and exercise and go in the sunshine and sleep, right? And manage their stress, obviously. Not drugging them for life. And unfortunately, even that... That whole project got co-opted by industry because what happened was industry got their fingers in it.

And the quality metrics that doctors were going to have to report on to get that increased payment, instead of it being quality, good outcomes, being a healthier patient who reversed their disease, quality, good outcomes was measured by how many of the patients in that doctor's practice were medicated on long-term medication therapy.

And the quality metrics that doctors were going to have to report on to get that increased payment, instead of it being quality, good outcomes, being a healthier patient who reversed their disease, quality, good outcomes was measured by how many of the patients in that doctor's practice were medicated on long-term medication therapy.

And the quality metrics that doctors were going to have to report on to get that increased payment, instead of it being quality, good outcomes, being a healthier patient who reversed their disease, quality, good outcomes was measured by how many of the patients in that doctor's practice were medicated on long-term medication therapy.

So a doctor, instead of saying, I reversed these 50 patients' diabetes and now they are non-diabetic, they would report that they had their patient panel on long-term diabetes medication and they were compliant with it. That was a good outcome. So even something that sounds good, Obamacare, value-based care, can get corrupted if we don't look at the details.

So a doctor, instead of saying, I reversed these 50 patients' diabetes and now they are non-diabetic, they would report that they had their patient panel on long-term diabetes medication and they were compliant with it. That was a good outcome. So even something that sounds good, Obamacare, value-based care, can get corrupted if we don't look at the details.