How does Sean McLaughlin, MD of Esse Health think about primary care in a value-based care system? "We want our doctors to have a deep understanding of what's going on with their patients. It's also about "prevent[ing] the progression of chronic diseases to costlier stages that are bad for patients." Check out the full interview with Beth Kutscher of Linkedin News ⤵️
It surprised me at first to hear how much doctors believe in the promise of value-based care. Before coming to LinkedIn, I had spent five years covering the issue from the hospital perspective, where enthusiasm was often more muted. But first to recap: the idea behind “value-based care” is to pay healthcare providers for keeping people healthy, rather than on the number of services they provide. It often involves a lump-sum, capitated payment with providers sharing in the savings if they keep costs under that threshold (and being at risk if they go over.) Value-based care received its momentum from the 2010 Affordable Care Act, and accelerated during the COVID-19 pandemic. But since 2022, interest has been declining and the data shows that its impact on healthcare costs has been limited. In this week’s #PathtoRecovery, I speak to two people (one Medicaid health plan executive, one internal medicine physician) on their experiences with value-based care. Both are bullish on it, and both have been successful at it. But each brings a unique perspective on what the challenges have been. And tell me: What do you think the future holds for value-based care? Also tagging in some value-based care experts in our #healthcareonLinkedIn community: Chia-Shing Yang MD FACP FHM, Dr. Jason Arora, MD, MPH, MA, Marcy Carty, MD MPH, Emran Rouf, MD, MBA, FACP, Jenn Kerfoot, and Toyin Ajayi