EP280: Will Currently-in-Use Technology Advancements Wind Up Disrupting Traditional Models of Health Care Delivery and Reimbursement? With Yauheni Solad, MD, and Rahul Dubey

In this Episode 280, Stacey Richter talks with Yauheni Solad, MD, medical director of digital health and telemedicine at Yale New Haven Health, and Rahul Dubey, founder of Percynal Health Innovations, about whether current technology advancements will end up disrupting traditional models of health care delivery and reimbursement.

WHAT YOU'LL LEARN

✅ How COVID-19 accelerated interoperability and health systems' ability to innovate

✅ Why making technology that actually helps doctors deliver care beats dictating new tools to them

✅ How unlimited primary care and lower cost sharing could change utilization patterns

✅ Why reimbursement policy may become as consequential as HIPAA for how technology gets adopted

✅ What payers and providers should be doing right now to prepare for this shift

WHY THIS MATTERS

Yauheni Solad brings the provider point of view and Rahul Dubey brings the payer point of view to a shared question: once health systems have invested heavily in new digital capabilities during COVID, will that investment permanently reshape care delivery and reimbursement? Both agree the answer hinges on whether technology is built to genuinely help doctors deliver care rather than add administrative burden, and whether reimbursement models evolve to support technology-enabled care rather than just bolt it onto fee-for-service. The risk they flag: technology could just as easily drive overconsumption of care as it could drive better, lower-cost outcomes — the deciding factor is how deliberately payers and providers manage that transition.

=== LINKS ===

🔗 Show Notes with all mentioned links: Episode Page

🔗 Healthcare Industry Acronyms and Terms

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00:00 Introduction.

03:56 How COVID-19 affects interoperability.

07:06 "It's not only the data exchange; it's your ability as a health care system to innovate."—Dr. Solad

09:11 How close are we to adopting more innovative and better technologies?

11:32 "Make docs happy. That is a very foreign concept for … people that are not delivering care to think about."—Rahul

11:47 "We want to be able to enable the primary care physician to deliver care."—Rahul

12:03 Working doctors rather than "dictating upon them."

13:16 "I can't sell burnout … I can sell value of care and outcomes of less cost."—Rahul

18:44 "There might be an increase in overconsumption of care."—Rahul

19:14 The possible increase in utilization of care and the potential for lower cost sharing.

19:57 Unlimited primary care and the benefits this might offer.

22:59 Does this pose risks to health systems?

25:22 "Everything you do for the patient should have a clear value to them."—Dr. Solad

26:35 "What type of technology can provide this missing link for your particular health care system?"—Dr. Solad

28:18 Reimbursement as the new HIPAA.

29:15 "We need more evidence in data around the delivery of this technology-enabled service."—Dr. Solad

32:20 What payers and providers should be doing today.

35:16 Care management vs consumerism.