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S1 Ep35: Joseph Betancourt, MD, on health care consolidation
Manage episode 435781044 series 3594852
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In this episode, Medical Economics Managing Editor Todd Shryock interviews Joseph Betancourt, MD, president of the Commonwealth Fund, about health care consolidation. Betancourt discusses the significant increase in consolidation over the past 7 to 10 years, driven by the goal of creating efficiencies and improving care. However, he notes that these benefits have not materialized, leading to challenges for patients and providers.
Music Credit: Sketch by High Proof - stock.adobe.com
Consolidation Trends (00:00:55)
Betancourt discusses the increasing trend of consolidation in the healthcare industry over the past 7 to 10 years.
Impact of Consolidation (00:03:10)
Examining the claimed benefits of consolidation, such as improved efficiencies and patient care, and the actual outcomes, including no significant quality improvements and increasing prices.
Survival of Independent Practices (00:05:33)
The challenges faced by independent medical practices in competing with larger consolidated systems and the potential impact on their survival.
Disappointing Results for Disruptors (00:08:00)
The discussion around the underwhelming results of disruptors like Amazon, Walmart, and CVS in the healthcare industry and the potential implications for future consolidation.
Access and Convenience (00:10:10)
The impact of consolidation on access to healthcare services and the efforts made by large systems to improve access and convenience.
Continuity of Care (00:11:50)
The potential impact of consolidation on the doctor-patient relationship and the importance of continuity of care, especially for patients with chronic conditions.
Autonomy and Agency (00:14:06)
The loss of autonomy and agency experienced by physicians in larger consolidated systems, leading to potential unionization movements.
Physician Compensation (00:15:54)
The variability in physician compensation when joining larger entities and the lack of clear trends in this regard.
Administrative Burden (00:16:50)
The discussion on whether joining a larger entity relieves physicians of administrative tasks and the ongoing challenges related to administrative burden in healthcare.
Quality Care for Independent Physicians (00:18:37)
Advice for independent physicians on maintaining and improving quality care for their patients in the current healthcare landscape.
Consolidation Trends (00:19:49)
Discussion on the ongoing trend of healthcare consolidation and its impact on providers and patients.
Unresolved Impact (00:19:54)
Uncertainty around whether healthcare consolidations are delivering the proposed benefits and the challenges faced by providers and patients.
Music Credit: Sketch by High Proof - stock.adobe.com
Consolidation Trends (00:00:55)
Betancourt discusses the increasing trend of consolidation in the healthcare industry over the past 7 to 10 years.
Impact of Consolidation (00:03:10)
Examining the claimed benefits of consolidation, such as improved efficiencies and patient care, and the actual outcomes, including no significant quality improvements and increasing prices.
Survival of Independent Practices (00:05:33)
The challenges faced by independent medical practices in competing with larger consolidated systems and the potential impact on their survival.
Disappointing Results for Disruptors (00:08:00)
The discussion around the underwhelming results of disruptors like Amazon, Walmart, and CVS in the healthcare industry and the potential implications for future consolidation.
Access and Convenience (00:10:10)
The impact of consolidation on access to healthcare services and the efforts made by large systems to improve access and convenience.
Continuity of Care (00:11:50)
The potential impact of consolidation on the doctor-patient relationship and the importance of continuity of care, especially for patients with chronic conditions.
Autonomy and Agency (00:14:06)
The loss of autonomy and agency experienced by physicians in larger consolidated systems, leading to potential unionization movements.
Physician Compensation (00:15:54)
The variability in physician compensation when joining larger entities and the lack of clear trends in this regard.
Administrative Burden (00:16:50)
The discussion on whether joining a larger entity relieves physicians of administrative tasks and the ongoing challenges related to administrative burden in healthcare.
Quality Care for Independent Physicians (00:18:37)
Advice for independent physicians on maintaining and improving quality care for their patients in the current healthcare landscape.
Consolidation Trends (00:19:49)
Discussion on the ongoing trend of healthcare consolidation and its impact on providers and patients.
Unresolved Impact (00:19:54)
Uncertainty around whether healthcare consolidations are delivering the proposed benefits and the challenges faced by providers and patients.
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