INBW35: Collaboration Between Healthcare Providers, Payers, and Others Is Required to Improve Chronic Care Patient Outcomes

Collaboration Between Healthcare Providers, Payers, and Others Is Required to Improve Chronic Care Patient Outcomes (INBW35)

Building on an earlier inbetweenisode, Stacey Richter distills a talk she gave at the Moving to Value Alliance symposium into the two major patient problems — care gaps and unaffordability — that can only be solved through healthcare stakeholder collaboration.

WHAT YOU'LL LEARN

✅ Why "care gap" measurement often misses far more gaps than it catches

✅ How chronic care management by care gap is "like cooking with a fire extinguisher"

✅ Why financial toxicity is clinical toxicity, and why even insured patients still can't afford their care

✅ How to make healthcare more affordable by navigating patients to high-quality, fairly priced providers

✅ Why the business model of revenue maximization is the real root cause behind the lack of collaboration

WHY THIS MATTERS

Chronic care patients face two solvable problems — fragmented, gap-ridden journeys and unaffordable care — and both require genuine collaboration among stakeholders who don't always have aligned incentives. Success stories already exist at the local-market level; the work now is building the roadmap and the collaborations to scale them.

=== LINKS ===

🔗 Show Notes with all mentioned links: Episode Page

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00:00 Introduction

01:41 What are the two major patient challenges in chronic patient care that can only be solved by collaboration?

01:56 What is the "care gap" problem?

03:19 EP361 with Carly Eckert, MD.

03:25 "Crappy prior auth processes create care gaps."

04:00 How do you eliminate care gaps proactively?

06:46 EP358 with Wayne Jenkins.

08:21 What is one way to make healthcare more affordable?

09:49 Why aren't more healthcare entities collaborating?

10:04 EP366 with Kevin Schulman, MD.

11:13 EP374 with Dave Chase.

11:18 EP372 with Cora Opsahl.

11:22 EP367 with Doug Hetherington.

11:25 Upcoming episode with Nick Stefanizzi.

12:00 EP364 with David Muhlestein, PhD, JD.