EP270: How to Save Primary Care Practices With the Marshall Plan for Prospective Payment Models, With Dave Chase, Cofounder and CEO of Health Rosetta

In this episode, Stacey Richter talks with Dave Chase, cofounder and CEO of Health Rosetta, about how to save primary care practices with the Marshall Plan for prospective payment models during COVID-19.

WHAT YOU'LL LEARN

✅ Why an estimated 60,000 family practices were at risk of closing during the pandemic

✅ Why transitioning to telehealth isn't as simple as flipping a switch for independent PCPs

✅ What happens to patients and communities when independent PCPs go out of business

✅ What Health Rosetta's Marshall Plan asks of self-insured employers and commercial health plans

✅ Why prospective payment models could be the key to keeping primary care independent

WHY THIS MATTERS

Dave Chase argues that COVID-19 is accelerating a crisis that was already building for independent primary care: fee-for-service reimbursement simply doesn't cover what PCPs do, and if independent practices fold, patients lose access right as private equity and large payers scoop up captive PCP populations. His Marshall Plan calls on self-insured employers and health plans to move toward prospective payment models now, both to keep community-based primary care alive and to prevent further consolidation that tends to raise costs for employers down the line.

=== LINKS ===

🔗 Show Notes with all mentioned links: Episode Page

🔗 Healthcare Industry Acronyms and Terms

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00:00 Introduction.

03:15 The state of independent fee-for-service PCPs during COVID-19.

03:57 CMS and telehealth, and why these aren't really aiding PCP revenue.

05:52 Worst-case scenario of where COVID-19 is going to leave our PCPs.

06:58 Looking to Optum's PCPs and what's happening there.

08:46 "There's a biological virus that's running rampant in our country, but there's been a metaphorical virus running through our health care system."

09:33 The incredibly fast transition to digital health because of COVID-19.

10:56 CMS's prospective payment model.

14:43 "In my view, we are not returning to normal."

15:21 Dave's call to action for saving PCPs during COVID-19.

22:07 Dave's advice for what PCPs should be doing right now.

24:01 "Here's the egg; crack it open."