INBW34: The Absence of Collaboration Between Healthcare Stakeholders: What It Means

The Absence of Collaboration Between Healthcare Stakeholders: What It Means (INBW34)

Stacey Richter shares a personal story about her grandfather's fragmented heart failure care to dig into why healthcare stakeholders don't collaborate — and argues that revenue maximization, not technical or regulatory barriers, is the real root cause.

WHAT YOU'LL LEARN

✅ Why heart failure patients generate a third of Medicare spending yet readmissions keep rising

✅ The two things required to improve chronic care outcomes: nonfragmented patient journeys and steering patients to the best care setting

✅ Why revenue maximization, not interoperability or HIPAA, is the real barrier to healthcare collaboration

✅ The three kinds of collaboration — along, informing, and navigating the patient journey

✅ Why "stakeholder prejudice" holds back collaboration with organizations, like Pharma, that could add real value

WHY THIS MATTERS

Fragmented, uncoordinated care isn't an accident — it's the predictable result of a healthcare system built on revenue maximization rather than patient outcomes. Real collaboration requires stakeholders to work with organizations they may not love, and understanding that a lack of collaboration is a symptom, not a mystery, is the first step toward fixing it.

=== LINKS ===

🔗 Show Notes with all mentioned links: Episode Page

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00:00 Introduction

03:07 How do we improve care, especially for chronic care patients?

03:18 What are two important contributors to patient outcomes?

03:40 EP361 with Carly Eckert, MD.

03:56 "We know that financial toxicity is clinical toxicity."

04:09 EP358 with Wayne Jenkins, MD.

06:05 Why can't parties across the healthcare industry seem to collaborate?

08:05 EP366 with Kevin Schulman, MD.

08:07 EP365 with Scott Haas.

08:10 Upcoming episode with Autumn Yongchu and Erik Davis.

08:34 "I would say that a lack of collaboration is a symptom."

10:10 There's lots of evidence that interoperability has been solved. It's been solved for years.

10:37 Upcoming episode with Cora Opsahl.

10:46 EP349 with Lisa Trumble.

10:53 EP354 with Shawn Rhodes.

10:57 EP324 with Nicole Bradberry and Kelly Conroy.

11:04 Upcoming episode with Dave Chase.

11:19 EP367 with Doug Hetherington.

11:25 EP350 with Katy Talento.

11:28 EP294 with Steve Schutzer, MD.

11:50 EP277 with Eric Weaver, DHA, MHA.

13:00 What are the three kinds of collaboration in healthcare?

13:23 Do collaborators need to have equal status in a collaboration?

13:57 "Care can be improved at the population level, at the community level…at the disease or the condition level."

15:10 How is stakeholder prejudice holding healthcare back?

15:42 EP356 with Ge Bai, PhD, CPA.

16:55 "Outcomes-based contracts…we need to figure out how to operationalize them."

17:08 "Colluding and conflict of interest is not cost neutral."

17:30 EP364 with David Muhlestein, PhD, JD.