{"version":1,"type":"rich","provider_name":"Libsyn","provider_url":"https:\/\/www.libsyn.com","height":90,"width":600,"title":"EP270: COVID-19\u2014How to Save Primary Care Practices With the Marshall Plan for Prospective Payment Models, With Dave Chase, Cofounder and CEO of Health Rosetta","description":"Let\u2019s talk today specifically about primary care physicians (PCPs) and family medicine doctors. Data was reported in USA Today, saying that an estimated 60,000 family practices will close and 800,000 of their employees will lose their jobs by the end of June. It\u2019s hard for any practice to just snap its fingers and transfer patients over to telemedicine regardless of the reimbursement rate and\/or how many payers are actually paying any reimbursement for telemedicine or remote patient monitoring. It\u2019s a thing to go virtual. It requires new processes, different staffing training, different workflows. Plus, a lot of what a PCP does (ie, fielding phone calls with quick questions, for example) aren\u2019t reimbursable; and if they were, no one\u2019s gonna, like, spend half an hour trying to send a bill for $12. What are the consequences of all, let\u2019s just say, independent PCPs going out of business? Well \u2026 first, logically, all patients served by these doctors and their teams now no longer have a place to go to get care, right in the middle of a pandemic. Second, let\u2019s just say in a thought experiment that a lot of independent physicians do go out of business and do wind up going to work in an employed model. That might very well happen. Private equity and payers like Humana and Optum have been buying up PCP practices all over the place. Why? So they can have captive populations. Patients come in the door at their PCP, and everywhere they go from there can be controlled by the vertically integrated entity. This has been stated openly. It\u2019s also pretty clear at this point that that model increases costs for any ultimate purchaser of health care like, for example, an employer. There\u2019s also other, let\u2019s just say, more unseemly motivations if you start to think about what a company who owns patient relationships with their PCPs can manage to perpetuate. It\u2019s great if you\u2019re a shareholder. It might be less great if you\u2019re a citizen of this country. In this health care podcast, I speak with Dave Chase, cofounder and CEO of Health Rosetta. Health Rosetta empowers community-owned health plans like, for example, employers and states\u2019 and town governments. Dave talks about Health Rosetta\u2019s Marshall Plan, which is an action plan right now to minimize the negative impact of COVID-19 by ensuring that family and primary care practices can stay in business. The Marshall Plan is a call to action for self-insured employers and commercial health plans. You can learn more about the Marshall Plan at healthrosetta.org\/marshallplan. You can also connect with Dave on Twitter at @chasedave and follow Health Rosetta at @HealthRosetta.  Dave Chase leads the vision for Health Rosetta, which is to empower community-owned health plans. Health Rosetta\u2019s blueprint and platform power the health plans of your dreams: high-quality, trustworthy, local, affordable care\u2014that you thought had disappeared forever\u2014from caregivers we know and trust. They free up compassionate, well-trained, community-based caregivers to rediscover love in medicine so they can do what they have always been called to do: serve their patients not just in disease but toward their fullest health. A trusted and sacred caregiver-patient bond is built through transparency and openness that equips and empowers patients wherever they can best achieve their unique health goals\u2014at home or any setting best optimizing their well-being. By avoiding the 50% wasted health care spending, we can ensure our caregivers have the independence and resources to address the psychosocial and medical issues their patients face. Human-centered health plans restore health, hope, and well-being. Through best-selling books and The Resident (on FOX), where Dave serves as a consultant, collateral damage from the Extractive Era of health care is highlighted as well as the tremendous successes and opportunities with Health Rosetta\u2013type health plans. The books, writing for various media outlets, TED Talk, and TV\/film have reached over 10 million people, with the goal of informing, enraging, empowering, and activating a broad grassroots movement designed to restore hope, health, and well-being to our communities. Dave proudly received the Health Value Awards\u2019 Lifetime Achievement for Health Benefits Innovation at the 2020 World Health Care Congress. Dave cofounded Avado, which was acquired by and integrated into WebMD\/Medscape, and founded Microsoft\u2019s $2 billion, 28,000-partner health care ecosystem. Outside of work, Dave Chase is an oxygen-fueled mountain athlete and volunteer high school track and cross-country coach. Once upon a time, Dave was a PAC-12 800 meter and 4x400 competitor. Most importantly, his devotion to faith, family, and friends underpins a desire to be a servant leader to the four million lives (and growing) stewarded through the Health Rosetta community. 03:15 The state of independent fee-for-service PCPs during COVID-19. 03:57 CMS and telehealth, and why these aren\u2019t really aiding PCP revenue. 05:52 Worst-case scenario of where COVID-19 is going to leave our PCPs. 06:58 Looking to Optum\u2019s PCPs and what\u2019s happening there. 08:46 \u201cThere\u2019s a biological virus that\u2019s running rampant in our country, but there\u2019s been a metaphorical virus running through our health care system.\u201d 09:33 The incredibly fast transition to digital health because of COVID-19. 10:56 CMS\u2019s prospective payment model. 14:43 \u201cIn my view, we are not returning to normal.\u201d 15:21 Dave\u2019s call to action for saving PCPs during COVID-19. 22:07 Dave\u2019s advice for what PCPs should be doing right now. 24:01 \u201cHere\u2019s the egg; crack it open.\u201d You can learn more about the Marshall Plan at healthrosetta.org\/marshallplan. You can also connect with Dave on Twitter at @chasedave and follow Health Rosetta at @HealthRosetta.  Check out our newest #healthcarepodcast with @chasedave of @HealthRosetta. #healthcare #podcast #digitalhealth #PCP #covid19 #coronavirus What is the state of independent fee-for-service #PCPs right now? @chasedave of @HealthRosetta discusses on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ffs #PCP #covid19 #coronavirus Why isn\u2019t #telehealth really aiding revenue for #PCPs? @chasedave of @HealthRosetta discusses on our #healthcarepodcast. #healthcare #podcast #digitalhealth #PCP #covid19 #coronavirus What is the worst-case scenario of where this #pandemic is leading our #PCPs? @chasedave of @HealthRosetta discusses on our #healthcarepodcast. #healthcare #podcast #digitalhealth #PCP #covid19 #coronavirus \u201cThere\u2019s a biological virus that\u2019s running rampant in our country, but there\u2019s been a metaphorical virus running through our health care system.\u201d @chasedave of @HealthRosetta discusses on our #healthcarepodcast. #healthcare #podcast #digitalhealth #PCP #covid19 #coronavirus What is the fast transition to digital health looking like for #PCPs? @chasedave of @HealthRosetta discusses on our #healthcarepodcast. #healthcare #podcast #digitalhealth #PCP #covid19 #coronavirus #CMS\u2019s prospective payment model, and what this means for #PCPs. @chasedave of @HealthRosetta discusses on our #healthcarepodcast. #healthcare #podcast #digitalhealth #PCP #covid19 #coronavirus \u201cIn my view, we are not returning to normal.\u201d @chasedave of @HealthRosetta discusses on our #healthcarepodcast. #healthcare #podcast #digitalhealth #PCP #covid19 #coronavirus What should #PCPs be doing right now? @chasedave of @HealthRosetta discusses on our #healthcarepodcast. #healthcare #podcast #digitalhealth #PCP #covid19 #coronavirus \u201cHere\u2019s the egg; crack it open.\u201d @chasedave of @HealthRosetta discusses on our #healthcarepodcast. #healthcare #podcast #digitalhealth #PCP #covid19 #coronavirus ","author_name":"Relentless Health Value","author_url":"https:\/\/relentlesshealthvalue.com","html":"