Value Based Care

topic on 4 shows · 13 statements across 12 episodes

Innovators & Investors We Live to Build American Optimist the a16z Podcast

13 statements about Value Based Care, every show

a16z Opinion
Batniji: Superficial value-based care agreements impede Medicaid delivery reform
“And I think that's actually been one of the biggest, like, challenges and impediments to adopting non-fee-for-service models in Medicaid is You know, the default mentality is, you know, if there is a value-based flag planted somewhere, then that territory is c…”
Rajaie Batniji Mar 20, 2025 ▶ 28:37 Scaling Medicaid Innovation with Rajaie Batniji, Sanjay Basu, and Afia Asamoah
INNOVATORS & INVESTORS Prediction Didn’t hold up
Joel Martin: Value-based care won't reach 20% of healthcare costs by 2035
“Cause I certainly would not bet on It getting to even 20% of cost being covered by value-based care within the decade, for sure. I think it'll be for sure longer than that.”
Joel Martin Jan 23, 2025 ▶ 11:47 18 - Bridging Healthcare Innovation and Investment with Joel Martin with HealthX Ventures' Joel Martin
a16z Insight
Pande: Biggest AI Healthcare Savings Will Come From Value-Based Care
“But the big win, as I think about it, is like in the sort of value-based care sense, like in the sort of not the sick care fee-for-service sense, but in the truly keeping us healthy sense. If AI can get out in front of things, Then hopefully, you know, we decr…”
Vijay Pande Sep 5, 2024 ▶ 1:28 Implementation, Data, Impact of Healthcare AI with Julie and Vijay
a16z Prediction Not checkable as stated
Pande: Value-based care will drive adoption of mind-body interventions
“What we're starting to see is more value-based care, more ways that people care about the outcome, rather than just providing a service, and if you care about the outcome, you'll incorporate whatever works, and we're just at the beginning of that, but I think …”
Vijay Pande Dec 20, 2023 ▶ 51:22 Tony Robbins on the Future of Health & Longevity
Perry: Value-Based Care Struggles Under Legacy Fee-for-Service Claims Rails
“That actually opened up a can of worms on the move to value base of how do you actually pay for that? You actually, they, the way they implemented that in many cases is actually they like put that on the claims rails. So they actually submit these claims and i…”
Nick Perry Dec 7, 2023 ▶ 27:58 Ep 73: Lessons from Palantir & How Candid Health Is Fixing the $280B Healthcare Billing Fiasco · Joe Lonsdale
a16z Assertion Supported
Smith: Value-Based Care Investment Quadrupled During the Pandemic
“Investment in value-based care quadrupled during the pandemic, while new hospital construction remained unchanged.”
Steph Smith Jul 14, 2023 ▶ 4:14 These People Are Engaging Their Doctors 45x a Year
Lonsdale: In-Home Senior Care Under Value-Based Models Is Far More Efficient
“Another version of value based care in a sense for old people who are staying in their homes is way more efficient.”
Joe Lonsdale Aug 8, 2022 ▶ 21:27 How Psychedelic Medicine Could Transform Healthcare | Why Medical School Is Broken · Joe Lonsdale
a16z Assertion Supported
Dr. Justin Larkin: Only 6% of 2021 healthcare dollars were capitated
“In 20, 21, fewer than 40% of healthcare dollars actually flowed through a payment model that had any kind of substantial value component to it. And only six percent of dollars were in sub capitation or in a global capitation arrangement.”
Dr. Justin Larkin Apr 6, 2022 ▶ 4:04 Risk-based Contracting for Value-based Care, a Founder's Playbook
a16z Insight
Roger Batnigi: First-year risk-bearing startups must balance actuarial scale against exposure
“There's a balance between needing to be enough scale so that, you know, operationally from a unit economics perspective, You can make it work. And then from an actuarial perspective, you have enough credibility, but not being at so much scale or being so expos…”
Roger Batnigi Apr 6, 2022 ▶ 24:26 Risk-based Contracting for Value-based Care, a Founder's Playbook
WE LIVE TO BUILD Assertion Supported
Hurst: Government and hospitals are shifting to value-based care
“The government and hospitals are now shifting the incentive model to value-based care.”
Blair Hurst Mar 20, 2021 ▶ 6:29 Healthcare Is a Bucket Full of Holes — Here's What Falls Through
a16z Opinion
Pande: Value-based healthcare models will best improve quality and lower costs
“If there's any one thing that I would like to see is to preserve the value-based approach, this would have the greatest impact on changing things, and both in terms of quality care and decreasing cost.”
Vijay Pande Jan 2, 2019 ▶ 24:11 a16z Podcast | The Rise of the Digital 'Pill'
a16z Prediction Not checkable as stated
Rajiv Singh: Value-based care transition will survive presidential administration changes
“Here's one thing we know, I believe, that the work that CMS is doing, the work the private sector is doing in terms of moving to value-based care, that's not going to stop.”
Rajiv Singh Jan 2, 2019 ▶ 6:34 a16z Podcast | The Business of Healthcare
a16z Insight
Kaditz: Value-based healthcare requires continuous monitoring to define success metrics
“If you're going to have a value-based care model, if you're not monitoring the population continuously and regularly, you really don't have a way to know if, you know, somebody is getting healthier or not. So unless we have a way to quantify what it means to g…”
Jeff Kaditz Jan 2, 2019 ▶ 7:17 a16z Podcast | Health Data -- A Feedback Loop for Humanity

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