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
The significance of physician engagement is really important because those are the markets that otherwise lack tools for providing information to the payer or to the provider and through the physician translating that information to the patient to enable
That combination of physician and patient decision-making that is in the interest of the patient, in the interest of high-quality care and low cost.
The challenge with Medicaid programs is going to be you've seen one Medicaid program, you've seen one Medicaid program.
Unlike Medicare Advantage, one of the great advantages there is it's one program.
And so getting investments at scale can happen much more easily with Medicare Advantage.
Medicaid programs, by and large, have done a really good job of starting to lead the way in integrating behavioral, pharmacy, social support services, and medical services.
It's the experimental platform for really addressing social determinants.
So I think while historically it's been a tremendously challenging population when we've thought about it as a medical needs population only,
I think it's a really interesting platform for developing great protocols, great capability sets, where we integrate those other care support systems in with medical support.
And there have been some very successful, not large scale, but very successful programs that have done that, have focused on keeping institutionally eligible patients out of institutions in their homes.
There are fewer stable long-term models.
There are a handful that have been around a long time and have demonstrated success.
The system as a whole needs some focus and needs some investment in order to be able to take those models and expand them at scale across the country, like we've started to see happen in Medicare Advantage.
I think that pretty basic care navigation capabilities are the gating issues because we're trying to organize different elements of the care delivery system and social support systems.
I think we'll be able to do that.
I think we'll be able to get the system, get the care navigation resources deployed effectively.
It's going to become, like other areas, it's going to become a function of how well can we identify the needs of individual patients.
Because there are a more various set of resources that need to be coordinated and brought to bear, the permutations of needs I think are going to be higher.
I don't have the data to prove that today, but it is my gut feeling that we've got a much higher range of
variability in the individual patient sets there and the needs that they've got compared to the traditional care for seniors or certainly compared to care for the commercial population.
Showing 81–100 of 111 · page 5 of 6
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