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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Appearances
We cannot afford to lose more primary care physicians.
They are, when well organized, the glue for the whole entire system.
I think the rise of administrative work and the lack of the system to create vehicles that reward physician capability, reward physician engagement on their fundamental principles, their mission,
and allow them to do that in a way that continues their independence, that's a tremendous threat to the U.S.
healthcare system.
Technology has been one of the drivers of administrative work.
The technology that we've deployed to date has gone towards solving other players' problems, the insurers, the aggregators.
We've created workload on the physician in order to aggregate data, allow better insight into what's driving cost.
But we haven't used technology to date at scale to implement processes that enable individual physicians in the exam room or at the bedside.
To enable that workflow is really rewarding and results in higher quality.
There are opportunities just around the corner.
The challenge, I think, for the healthcare system is to adopt those opportunities in a way that doesn't require physicians to fundamentally change their work environment.
Technology needs to enable the activities that physicians are skilled at undertaking.
And that requires something the tech world hasn't quite evolved into.
Simple training that doesn't require an IT staff to implement and nurses and lower skilled staff who are able to help physicians adopt and implement the technology.
So when we talk about risk, we really need to think about the form that the risk takes.
So moving out of shared savings models based on fee-for-service and into global payment structures and into capitated structures especially is very, very important.
But the ability to make that transition requires a lot of expertise, probably impossible for individual physicians to adopt, and hard even for large groups to adopt.
While I feel very bullish on the opportunity for the system as a whole to drive significant quality patient satisfaction, physician satisfaction, and cost reductions out of a risk environment,
I don't think the system as a whole has made any significant progress since the 90s in supporting that transition.
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