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Paul Kusserow

👤 Person
178 total appearances

Appearances Over Time

Podcast Appearances

McKinsey on Healthcare
Paul Kusserow on the forces changing healthcare faster than ever

Obviously, AI connects dots, can find information, piece it together, build good storylines.

McKinsey on Healthcare
Paul Kusserow on the forces changing healthcare faster than ever

We're such a fractured business in U.S.

McKinsey on Healthcare
Paul Kusserow on the forces changing healthcare faster than ever

healthcare.

McKinsey on Healthcare
Paul Kusserow on the forces changing healthcare faster than ever

This will enable that putting together to narratives in things like prior authorization, making sure payments work according to the rules.

McKinsey on Healthcare
Paul Kusserow on the forces changing healthcare faster than ever

So we estimate that the RCM business, the revenue cycle business, which is basically just getting paid, is about a trillion dollars.

McKinsey on Healthcare
Paul Kusserow on the forces changing healthcare faster than ever

And so you look at a trillion dollars of savings just to get paid for work you're already doing.

McKinsey on Healthcare
Paul Kusserow on the forces changing healthcare faster than ever

I think that's where a lot of the initiatives are going to start.

McKinsey on Healthcare
Paul Kusserow on the forces changing healthcare faster than ever

And then not only there, but clinically...

McKinsey on Healthcare
Paul Kusserow on the forces changing healthcare faster than ever

We've been using AI, again, in the home health business.

McKinsey on Healthcare
Paul Kusserow on the forces changing healthcare faster than ever

We've used and invested in a company called Metalogics that enables us to drive utilization, clinical best outcome utilization for each individual.

McKinsey on Healthcare
Paul Kusserow on the forces changing healthcare faster than ever

And it's produced much more efficient care and the quality is higher.

McKinsey on Healthcare
Paul Kusserow on the forces changing healthcare faster than ever

And we're able to save a quarter to a third of what would be normal clinical expenses.

McKinsey on Healthcare
Paul Kusserow on the forces changing healthcare faster than ever

So it's been extraordinary.

McKinsey on Healthcare
Paul Kusserow on the forces changing healthcare faster than ever

If you look at some of the research that's been done out there, actually about 20% of the care that is needed to optimize the outcomes is clinical.

McKinsey on Healthcare
Paul Kusserow on the forces changing healthcare faster than ever

And in the United States, that's all we really focus on.

McKinsey on Healthcare
Paul Kusserow on the forces changing healthcare faster than ever

Everything's got to be clinical, clinical, clinical.

McKinsey on Healthcare
Paul Kusserow on the forces changing healthcare faster than ever

When you're chronically ill and you're fighting this disease or you're living with this disease for 20, 25 years, it's really a long game.

McKinsey on Healthcare
Paul Kusserow on the forces changing healthcare faster than ever

And so if you look at some of the other elements that really drive great outcomes, we view that more as health care, which is pure clinical.

McKinsey on Healthcare
Paul Kusserow on the forces changing healthcare faster than ever

And you obviously have to have that.

McKinsey on Healthcare
Paul Kusserow on the forces changing healthcare faster than ever

You have to have that clinical diagnosis.