Everything Rajaie Batniji said on any show that made the record, most notable first. Each card names its show and opens the statement there.
Batniji: Standard Medicaid algorithms identify high-cost patients too late to help
“If you look at those high cost claimants, and you look at the algorithms that are used to identify them, there's a couple of very common ones, By the time they identify a patient, that patient's cost, and this is according to the National Medicaid Database, wh…”
Batniji: Waymark's ML model boosts acute care prediction accuracy to 90%
“If you didn't have signal, you'd have about 30% accuracy in identifying Future acute care use. I mean, seven out of the 10 patients that you reach out to, you're not going to actually benefit in a way that changes the outcome. With Signal, you have 90% accurac…”
Batniji: Withholding Waymark's intervention would be medical malpractice if a drug
“I think the biggest difference is that if this were a drug, it'd be medical malpractice not to give it.”
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…”
Batniji: Medicaid is US healthcare's largest and most addressable challenge
“All of the creativity, all the capital is going into largely Medicare and employer. And Medicaid is actually the biggest, and frankly, I think the most readily addressed challenge in, in US healthcare. And there was very little happening to take that on.”
Batniji: 39% of Medicaid acute care is avoidable, triple commercial rates
“40% of all acute care or 39% of all acute care in Medicaid is avoidable. That's like three times what it is in Medicare, three times what it is in commercial.”
Batniji: Waymark reduced Medicaid acute care by 23% and hospitalizations by 48%
“Reducing overall acute care in the intervene cohort by 23%, reducing what are called ambulatory care sensitive hospitalizations by 48%.”
Batniji: Missing software and funding models prevented community healthcare from scaling
“The challenge is nobody had ever built the product to reliably implement those proven interventions at scale, and nobody had ever created the funding mechanism to make those sustainable.”
Batniji: Waymark trains risk models on clinical and social data
“Our algorithm is, is trained not on cost or prior utilization, but on condition and social risk factors, and the various other data feeds that tell us about behavior, the kind of admission discharge transfer feeds, we can see whether they're picking up their m…”
the a16z Podcast 2