What does it actually look like to run clinical strategy inside a vertically integrated giant when payor-provider trust is at a historic low?
Blake Madden sits down with Dr. Ali Khan, Chief Medical Officer for Aetna Medicare, to get the answer to this question and more.
Dr. Khan has been employee 34 at Iora Health, a hospitalist/UM and CM medical director at CareMore, a division leader who scaled Oak Street Health from 23 to 75 clinics through the pandemic, and now he’s trying to make CVS’s vertical integration thesis actually work at the last mile.
Key Topics:
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The real state of value-based care (spoiler: it’s not as far along as anyone claims),
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Why Aetna is bringing nurses back to hospital bedsides,
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How behavioral economics is driving member engagement, and
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What AI should actually be used for in MA
Amazing learnings in healthcare operations from someone who’s practiced medicine and run P&Ls across every care model that matters.
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00:00:00 – Introduction to Dr. Ali Khan and His Background
00:09:48 – The Evolution of Value-Based Care
00:18:45 – High Value Care vs. Value-Based Care
00:22:31 – Aetna’s Transformation and Integrated Care Models
00:32:20 – Behavioral Economics in Healthcare
00:35:16 – Creating a Connected Ecosystem
00:38:54 – Navigating Structural Challenges in Healthcare
00:45:20 – Building Trust Between Payers and Providers
00:49:13 – Collaborative Care Models for Better Outcomes
00:55:11 – Triage of Current Healthcare Challenges
01:00:21 – Lessons from Healthcare Acquisitions
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Aetna Medicare: https://www.aetna.com/medicare.html
Follow Dr. Ali Khan on LinkedIn: https://www.linkedin.com/in/alikhan28/
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