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

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.”