Tuesday Sep 20, 2022

David Randall Chief Strategy Officer UAB Medicine

Tom Robertson, Executive Director of the Vizient Research Institute, and David Randall, Chief Strategy Officer, UAB Medicine, discuss the vulnerability of the traditional health system business model, driven by a payment system that creates unintended consequences. The conversation then turns to how things could change, and David describes a unique experiment underway involving a completely different funding method for indigent care.


Guest speaker:
David Randall, MBA
Chief Strategy Officer, UAB Medicine
CEO Cooper Green Mercy Health Services Authority 
Tom Robertson
Executive Director
Vizient Research Institute 


Show Notes:

[01:00] Provider operating margins affected by increasing Medicare population

[03:45] Diversifying revenue

[04:50] Global spending budget allows provider organizations to be more innovative and think about capacity differently

[07:18] Current payor system based on sickness and volume does not incentivize preventive wellness care

[09:36] If price wasn’t an issue, it may help payors and providers to focus more on care processes

[10:47] Example of shifting from unit price to episodic cost – cancer care

[11:36] Would be good to have a national discussion between the payers and providers focused on optimizing episodes of care

[12:48] UAB’s fund-flow model is relatively payer agnostic.

[14:55] Have to figure out how to get paid for services outside the four walls of the hospital, such as community outreach programs for mental health

[16:47] Even if we are paid more money, there’s still a capacity issue

[18:44] Global payments example: Jefferson County Indigent Clinic


Links | Resources:

David Randall's biographical information


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