The Amish are a VBC Payers Dream
The Amish are a VBC payer’s dream. Why? Not saying you have to do everything “like the Amish.” Am saying that environment matters. I took care of the same ethnic population but in a typical toxic American environment Diabetes, HTN, Cancers, Heart Disease. Pop these Amish in that environment […]
Exercise Reduces Cancer Recurrence…By A Lot.
A 3-year structured exercise program initiated soon after adjuvant chemotherapy for colon cancer resulted in significantly longer disease-free survival and findings consistent with longer overall survival. That’s a structured program, with a bi-monthly (human) coach and a weekly target that was the equivalent of three to four walks of between 45 and 60 minutes. […]
Redefining Disease for Fun and Profit—Mostly Profit
The government is squeezing the over-valuation of RAF scores. So what’s an industry to do? Redefine disease states to make them easier to diagnose! I have no position on the utility of this example, just a recommendation to watch for it as the phenomenon becomes more widespread. Impact: The value of […]
You, Your Cashflow, and Literally Everything
Social Connection, Health, and VBC Success
Social connection promotes health. We knew this already, but this is the best study yet. A more detailed examination here. Change your patient’s environment, lower their care costs. You can either invest in projects the bring social connections to your beneficiaries, or you can screen beneficiaries for social connection before […]
Robotics and VBC
Once a patient qualifies by a qualifying diagnosis or reaching a certain RAF score, these will be a covered benefit. More here. They will save you institutional costs in many ways. Heck, care supervision by one may just qualify for adjustments in RAF, just like admission to long-term care does. Their […]
Dr. Oz Gets Sworn in as Head of CMS
You should have. And even if you’d been following us here, it still would have been shocking. But none of it would have been a surprise.
VBC: Penetrating the Mainstream
The Cost of Healthcare
What’s Going on at UNH?
I often use the metaphor that VBC is the meteor, the health systems and payers are the dinosaurs, and the few low-overhead private practices out there are the teeny, tiny little mammals hiding in the ground waiting for their chance. The pushback is always, “Well, where’s the evidence?” “Where’s the tangible evidence that […]
It’s Happening. CMS is Clearing the Deck in Anticipation of the Next Big Thing.
Four payment models (including one model related to kidney care and two models related to primary care) will be terminated by the end of 2025 in advance of their initially scheduled termination dates. More here. I predicted this across my various channels the day after election day and again a few weeks ago; […]