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Risk-based Contracting for Value-based Care, a Founder's Playbook

a16z Podcast

32m
Transcript

Original podcast

About this episode

COVID has strained our healthcare system, payors are feeling the squeeze of rising costs, and patients are bearing the brunt of the current system's shortcomings. As a result, healthcare is undergoing a transformation, from care that is predominately fee for service and based on volume of care to value-based care. Risk-based contracts are critical to building businesses based on risk and value, rather than fees and volume. We talked to digital health builders — from Firefly Health, Pearl Health, Waymark, Carrum Health, Eleanor Health, Patina Health, and BlueCross BlueShield of North Carolina — at the forefront of the shift to value-based care about how to build risk-based companies. *The spectrum of risk-based models [1:33] *Where we are in the shift to value-based care [3:37] *Deciding to go at risk [5:46] *Establishing partnerships [13:03] *Defining success [19:14] *Scaling [24:16] *Investor perspective [29:46] For more on building digital health companies: a16z.com/digital-health-builders.

Transcript

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32:27

7,251 words · 5 speakers

Speaker names marked are inferred from speaking time and the show’s known hosts — they are not voice-verified.

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