MTVA Unscripted: Empowering the Move to Value Based Healthcare

What does “value” in health care actually mean—and how do we get there? MTVA sat down with a top leader in the value movement who’s put the value philosophy into practice! 

Kevin Bozic, MD, MBA is Chair of Surgery and Perioperative Care at Dell Medical School at The University of Texas at Austin. He’s internationally recognized in the field of orthopaedic surgery (a Past President of the American Academy of Orthopaedic Surgeons) and...

“I really do think it's as simple as waking up the buyer, because if the buyer is going to define what they want and hold people accountable, everything else will happen naturally.”

One often overlooked stakeholder in the U.S. healthcare system is business leaders. Our guest this week, Darrell Moon, is on a mission to mobilize these decision makers.

Darrell is the CEO and Founder of Orriant and Aspirational Healthcare.

As...

Thinking about Dermatology may bring to mind Botox injections and commercials for anti-aging skincare products, but behind the scenes, it’s one of the most broken specialties in healthcare. Long wait times for short visits, some of the most expensive drugs on the market, and a system that too often overlooks patients with chronic autoimmune skin conditions.

In this episode, we sit down with Olivia Deitcher – Founder and CEO o...

“Right now, the value-based care reward is coming into the payers far more than it’s coming into the providers.”

A primary care provider shortage is on the horizon. Between resolving coverage disputes, trying to get reimbursed for services, and limited time with patients, PCPs are burnt out.

But what if we reimagine the primary care payment model to work better for providers and patients?  

In this episode, we sit down with Mary Trac...

From geography to network adequacy and endless waitlists, getting seen by a specialist can be tricky. And the challenges are even more pronounced for underserved communities – who may be hours away from the provider they need to see, or whose insurance might not be accepted by specialists. Then, after waiting months for an appointment, it may turn out to be one of the many specialist referrals that are unnecessary. 

There’s a better...

We’re just a couple months into the second Trump administration, and already we’re seeing a massive push to reduce federal spending. One program that seems to be on the chopping block: Medicaid. 

In late February, House Republicans passed a budget resolution that would drastically reduce federal funding for Medicaid. What’s really going on in Washington? How would proposed cuts impact states – and the million...

Managing chronic diseases like diabetes and hypertension is one of the most pressing challenges facing our health system. And Dr. Bill Bestermann has a solution: Optimal Medical Therapy. 

Optimal Medical Therapy is a comprehensive, evidence-based approach with the power to prevent adverse events, improve patient outcomes, and dramatically reduce healthcare costs. 

A board-certified internist and expert in preventive cardiology, Dr. B...

“I’d like to leave an infrastructure behind that is better than the one I encountered when I came in, because we're stifling innovation, we're stifling creativity, we’re stifling advance.”

How can decentralization and transparent pricing reshape American healthcare? In this episode of Moving to Value, the MTVA Board sits down with Steve Wiggins, a healthcare entrepreneur with 40 years of experience at the intersection...

Drug spending continues to escalate, accounting for an even bigger portion of total U.S. healthcare spend each year.

Why do we pay so much for medications? Are the drugs we buy truly worth the price we pay? How can we figure out the real value of a medication? 

Pramod John joins the MTVA Board to help answer these questions and more. Guided by cold, hard data, Pramod expertly demystifies the drug market and pharmacy benefit ecosystem...

“There are medical schools whose mission is to build the researchers of the future, we all know who those are. There are other medical schools to build the community clinician of the future, great. And I’m about: let’s build the scholars and leaders in quality and in population health for the future.”

“We are incentivized to practice medicine based on reimbursement, so that has resulted in more procedures, more pharmaceuticals, and less time with our patients. That has to change.”

“Just because it’s healthcare, doesn’t mean it’s good for you.” 

The Moving to Value Alliance (MTVA) has been promoting value in health care for over 7 years. Though we’ve seen some progress, spending is steadily rising, many health outcomes remain unchanged, and burnout is a real problem for healthcare professionals.

Pharmacists are one of the most trusted professions, yet more and more pharmacies are closing. A recent survey found 2275 pharmacies have closed so far this year, and every day independent pharmacies are shuttering their doors – often leaving “pharmacy deserts” in their wake. 

Many successful companies have ventured into the healthcare space and failed. 

We all know the cost of prescription drugs in the U.S. is a problem. How did we get here and what can we do about it?  

“There’s a reason that over the last 45 years, the PBM model has been the darling of Wall Street: because it makes a heck of a lot of money for its investors.” – Roy Wilkinson

Rollups, takeovers and buyouts. Oh my!

Though ERISA is often thought of as an issue for retirement plans, the law has always applied to employer-sponsored health benefit plans. The Consolidated Appropriations Act of 2021 (CAA) sought to put a spotlight on the issue by clarifying responsibilities of health benefit plan fiduciaries and the third-party service providers they contract with. Yet, 3 years after its passage, many plan sponsors still can’t get their vendors or ...