44 min

Escaping the Tyranny of Fee-For-Service Healthcare - François de Brantes The #HCBiz Show!

    • Business

The recent dust-up over Direct Contracting and its ultimate rebranding as the ACO REACH model may have led some to believe that our path forward is unclear. That couldn't be further from the truth.
On this episode, we talk with François de Brantes, Senior Vice President of Episodes of Care at Signify Health, about where we are on the pathway to escaping the tyranny of Fee-For-Service healthcare.
It's tyranny because it prevents us from delivering care the way we want to and need to. Advanced Alternative Payment Models like ACO Reach allow organizations to separate payment from delivery, stop focusing their efforts on top-line revenue, and begin to operate like typical P & L driven companies. The promise, of course, is that this will change the way healthcare is delivered in the U.S., improve outcomes and lower costs.
We discuss:
- Has utilization and payment returned to pre-pandemic norms?
- Why are commercial carriers lagging behind Medicare and Medicaid in launching Advanced Alternative Payment Models?
- Will the shift to value and consumer-centric delivery methods like telemedicine diminish uncompensated care?
- Is it possible to be proactive and patient-centric in Fee-for-service?
- Are provider systems ready for AAPMs?
- Can employers band together to create enough demand for AAPMs in the under-65 commercial market?
- What were the arguments against the Direct Contracting Model?
- Did they have merit?
- What changes were made to Direct Contracting as part of the rebrand to ACO Reach?
- How does this dust-up over Direct Contracting confirm we are on a bi-partisan, unwavering march toward value and never going back?
- Why did Signify Health acquire Caravan Health?
 
For full show notes and links: https://thehcbiz.com/189-escaping-the-tyranny-of-fee-for-service-healthcare-francois-de-brantes/

The recent dust-up over Direct Contracting and its ultimate rebranding as the ACO REACH model may have led some to believe that our path forward is unclear. That couldn't be further from the truth.
On this episode, we talk with François de Brantes, Senior Vice President of Episodes of Care at Signify Health, about where we are on the pathway to escaping the tyranny of Fee-For-Service healthcare.
It's tyranny because it prevents us from delivering care the way we want to and need to. Advanced Alternative Payment Models like ACO Reach allow organizations to separate payment from delivery, stop focusing their efforts on top-line revenue, and begin to operate like typical P & L driven companies. The promise, of course, is that this will change the way healthcare is delivered in the U.S., improve outcomes and lower costs.
We discuss:
- Has utilization and payment returned to pre-pandemic norms?
- Why are commercial carriers lagging behind Medicare and Medicaid in launching Advanced Alternative Payment Models?
- Will the shift to value and consumer-centric delivery methods like telemedicine diminish uncompensated care?
- Is it possible to be proactive and patient-centric in Fee-for-service?
- Are provider systems ready for AAPMs?
- Can employers band together to create enough demand for AAPMs in the under-65 commercial market?
- What were the arguments against the Direct Contracting Model?
- Did they have merit?
- What changes were made to Direct Contracting as part of the rebrand to ACO Reach?
- How does this dust-up over Direct Contracting confirm we are on a bi-partisan, unwavering march toward value and never going back?
- Why did Signify Health acquire Caravan Health?
 
For full show notes and links: https://thehcbiz.com/189-escaping-the-tyranny-of-fee-for-service-healthcare-francois-de-brantes/

44 min

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