Ron Kuerbitz

speaker
111 appearances 1 recordings 1 series first heard Jul 2019 last heard Jul 2019

Ron Kuerbitz’s voice in public audio — every appearance, attributed to the second.

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I think it's hard to assess the effects of the consolidation by itself.
One of the positives that goes along with the consolidation is the creation of platforms for better systems.
With increasing scale, physicians have access to more capital, more tools, and the opportunity for more collaboration.
But the real issue is, what's the goal of the consolidator?
If the goal is to use that organization to drive value, the consolidation is pretty close to a prerequisite.
We're working on some systems that allow small practices to get the benefits of organization and investment.
But by and large, I think the prerequisite for the country as a whole is going to be that some level of consolidation happens.
Players that are forward-thinking are going to see this as a prerequisite, as a benefit.
Particularly, we see payers really demanding improvement in value-based care and really starting to drive the integration of some of the payer elements and provider services.
Health systems, I think it's a little bit more hit and miss.
There are definitely health systems that see this consolidation as a long-term benefit, giving them an organized platform to integrate into the way tertiary care is provided.
But I think there are also systems, both health systems and institutional ambulatory services providers, who are resisting the trend and really
have doubled down on a fee-for-service environment.
For them, I think this is going to be a real challenge because as physicians, particularly primary care physicians, get organized, get access to data, get access to the opportunity to improve protocols, find new areas of efficiency, they're going to require partners at the payer level, among other providers, who will enable them and help them move along that continuum.
The addition of administrative work is probably the biggest challenge in the physician world, at least as we see it, that 63% of family practice physicians exhibit some symptoms of burnout, and more than 50% of general internal medicine physicians
feel real significant symptoms of burnout.
That burnout largely is a function of a tremendous load of administrative activity that takes away from their ability to focus on the things that they're really expert on and the things they know their patients need.
that lack of reward for the skills that you bring to the system, the inability to pursue the mission that you came into medicine for, and then the threat of a lack of independence.
Those are the three hallmarks of factors that drive burnout.
As a practical matter, the system can't afford it.
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