Jan 24, 2023
When I hear the term value-based care, I think about a provider group taking on full or partial risk for the care of a patient. But I also think of value-based care in terms of the patient journey across a condition or an episode of care. Outside of primary care, health plans have struggled to implement payment arrangements for specialists and hospitals that factors in the cost and quality of care across the continuum.
What has made this so challenging? Data – or the lack thereof. For years payors and providers have struggled to define a true episode of care and attach a payment and quality score to it. There is a company that is addressing this challenge by analyzing patient journeys on a holistic basis to better understand the full constellation of costs associated with healthcare encounters.
With me is Web Sun, co-founder and President at Komodo Health. Komodo Health is a healthcare technology company creating a new standard for real-world data and analytics through its platform, which enables real-time, actionable insight into the treatment, diagnosis, costs, and outcomes of millions of patients across the U.S. The company’s foundational belief is that all healthcare stakeholders need a reliable “ground truth” understanding of the patient journey in order to understand the reality of patient experiences and address the burden of disease. With that at its core, Komodo is transforming the way the industry interacts with data and insight — fueling critical intelligence for stakeholders across healthcare.
Show Notes: book: No Rules, Rules: Netflix and the Culture of Reinvention by Reed Hastings and Erin Meyer.