The ShiftShapers Podcast

EP #408: Members Without Primary Care Drive Costs — with Ankit Patel

David Saltzman

This week's episode is about a new technology platform that aims to boost the primary care provider and patient relationship, as Ankit Patel, co-founder, and President of Pearl Health, discusses the implications of not having a primary care relationship on both the employee and administrative sides, and most importantly, how they are attempting to solve these issues.

What You’ll Learn From This Episode:

  • 1:40 The impact of not having a primary care relationship on both the employee and claims.
  • 3:29 What distinguishes this new approach from the HMO of the 1990s.
  • 7:09 The Direct Contracting Program versus CMS.
  • 9:52 How they can help to strengthen the primary care provider-patient relationship.

Quotes:

4:01 “I think the thing that is different this time is that we now have the technology infrastructure and the data to ensure that capitation is coming with accountability.”

6:34 “I think when we talk about access to patient care, what I believe has happened over the last 10 years is we have rightly moved the industry towards value, but we have done it in a way that has not really promoted access to patient care.”

10:07 “I think what this really ultimately comes down to is trying to find a way to help solidify the primary care and patient relationship as that patient is navigating and going through the rest of the healthcare system.”

This episode is sponsored by Benepower, the platform of choice for a modern benefits experience. Benepower is an AI-powered benefits platform offering access to top products and services, enabling consultants and employers to create customized plans, optimize usage, and measure effectiveness. www.benepower.com