1. EachPod

Episode 9: Being a True Fiduciary with Mark Watson and Kent Thomas (Part 2)

Author
Cristy Gupton, Mark Watson, & Kent Thomas
Published
Wed 15 May 2019
Episode Link
https://www.custombenefits.work/news/2019/3/28-episode-6-t955b-362c7-38fjj

00:00 Intro

00:45 Mark Watson and Kent Thomas

01:47 In last week’s episode

04:48 Now for more with our guests

05:00 Plan design is SO important! Learn how to design your plan from the bottom up

06:16 In what other part of our economy would we conduct our affairs this way…NOWHERE!

08:06 You’re not in control until you know where the dollars are going

09:00 Lots of plans are including DPC as an option but they’re paying double

09:08 Primary care physicians can perform 85% of what patients need

10:30 In DPC, a fixed, capitated cost is mutually agreed upon

11:50 Do I have $10 today?

12:39 That medical home becomes the “healthcare hub”

13:00 Professional oversight is weaved in

13:43 Can DPC show a natural reduction in the prescribing of opioids?

16:00 Primary care oversight helps protect employees

18:32 Local governments filing class action lawsuits

19:42 If you don’t know where your dollars are going you can’t manage it

21:15 I want to know why the costs are coming in the way they are

12:32 Transparent pricing model, with audit rights, etc.

23:05 We have an embedded pharmacist in our plan to provide consulting on costs

24:28 DPC is incentivized to provide healthcare on behalf of the employer, who pays them

28:45 “keys to the kingdom” you have to understand where the money is going and you have to get consistency in consumer behavior

30:09 What is next?

31:08 RBP, when implemented and managed correctly, puts employers in the driver’s seat

31:36 Hospitals have purchased entry practices to “feed” the rest of the system

32:36 So many hospitals were founded as non-profit, public entities…but today what have they become?

33:56 RBP gives you license to start asking “do I really need a PPO network”?

35:26 PPO networks…do we need them anymore?

36:30 RBP loves rural hospitals so long as they have high quality

37:46 Medicare is the “reasonable profit” benchmark

38:56 Local Governments should hear this message

39:17 Thank you!! #letsfixhealthcare www.custombenefits.work

Share to: