The Reverse Mullet Healthcare Podcast

One plus one equals three with Brent McDonald

BP2 Health

On the Road Edition - Live at ViVE, Episode 8

Why has value-based care taken so long to revolutionize healthcare? This is the pressing question we explore with Brent McDonald, Senior Vice President, Population Health at Vanderbilt University Medical Center. Brent brings over a decade of experience to our podcast, sharing his journey and the unwavering commitment needed to drive real, impactful change in the healthcare sector. We delve into the incremental steps and significant tipping points that have marked the evolution of value-based care.

In our discussion, Brent passionately emphasizes the importance of empowering providers with the right information, technology, and incentives to achieve optimal patient outcomes. We delve into the incremental steps and significant tipping points that have marked the evolution of value-based care. Brent's optimism and dedication shine through. Tune in for a thought-provoking conversation that highlights how perseverance and strategic partnerships are transforming healthcare for the better. Don't miss this engaging episode filled with insights, reflections, and a clear vision for the future of healthcare.

 Discover how one pioneering Vanderbilt collaboration is poised to enhance patient outcomes through advanced navigation services and a clinically integrated network. This isn't just another healthcare initiative; it's a partnership aiming to set a new standard for healthcare delivery.

Throughout the episode, Brent's optimism and dedication shine through. Tune in for a thought-provoking conversation that highlights how perseverance and strategic partnerships are transforming healthcare for the better. Don't miss this engaging episode filled with insights, reflections, and a clear vision for the future of healthcare.

Speaker 1:

Well, we're still vibing here at VIVE 2024 BP2 Health Reverse Mullet Healthcare Podcast.

Speaker 2:

On the road, episode On the road.

Speaker 1:

I'm Dave Pavlik.

Speaker 2:

And I'm Ellen Brown, and we're here with Brett McDonald. And so, brett, tell us why you're here, tell us about yourself.

Speaker 1:

Thank you, thanks for letting me join you today. Yeah, so I work for Vanderbilt University Medical Center. I'm Senior Vice President in Population Health, and we're here talking about value-based care and some new initiatives.

Speaker 2:

Which is our favorite, so I'm super excited that you're here as we, as our. We had an episode recently where we said why is it taking so long?

Speaker 1:

Value-based care. Why is it taking so long? 10 years ago, we thought it was around the corner.

Speaker 2:

Well, I think that's when we met was 10 years ago working on value-based care. So yeah, so tell us what you're doing at Vi first.

Speaker 1:

Yeah, sure. So there was a press release this morning about a new partnership, or collaboration, I should say, between the network we built in Tennessee and Quantum Health, which is super exciting. It is exciting and it's the first of its kind in the nation. We're really looking at how their navigation services can align with our clinically integrated network to improve how we deliver care to the communities we serve and we're really excited about that.

Speaker 2:

Cool Any technology that's being leveraged there.

Speaker 1:

Well, they have their own platforms and we, of course, have all of our capabilities to support the populations we take risk for. So what we're doing right now is figuring out how those two capabilities best align. Okay, but early indications are they align quite well? Okay, all right, perfect, I forgot to ask you if you wanted to wear the mullet, the reverse mullet.

Speaker 2:

I think he's going to turn us down on the props no, that's fine. Those of you that are not able to see this on film although I'm excited because we're going to get this on film is I have a. I have the infamous health the, the sponsor of this entire event the infamous sequined jacket that has health emblazoned on the back. It's like the most outstanding sequin cover jacket I'm sporting the vive t-shirt.

Speaker 1:

Yes, you are. You are so swag I guess I'm anchoring down with a little more conservative.

Speaker 2:

Yes, you look appropriate and you have your, we all have our, our name tags. I feel I feel sort of like when we were at JP Morgan, a little, where it's like the everyone's walking around the city with their name tags on.

Speaker 1:

So the question we're asking everybody is what are you passionate about that you think can affect real, all caps, real change in healthcare?

Speaker 1:

Yeah Well, so we're 12 years into a journey of trying to do that. The reason I'm sticking it out in this is I really believe that the providers of healthcare are the ones that can make the most difference. We're the ones who are actually sitting in the room with the patients, absolutely, and so all the work that we've been doing over the years to try to better align the providers of care, to get them more information, to get them what they need, to do the very best job they can, we're really starting to see that work Really. We are, and that's exciting for me because, in the end of the day, the patient gets a better outcome, and that's what we're here for, right, and so we serve a population in Tennessee. We are committed to improving the care and the quality and the outcomes for that population, and the technology and the information and the incentives and everything are finally starting to turn to make that possible and, or, I should say, enhance our ability to do that.

Speaker 2:

Do you think that anything has happened? Is it truly incremental? Because I always say to people we created the podcast because I feel as an industry we have very few platforms where we just have conversations about how we could really push the envelope on change. Right, but I always say I don't want to throw incremental change out with the bathwater because that's the reality of the hard yards that we have to put in.

Speaker 2:

But do you think that it's just been that it's? It's kind of that tipping point where you've just you know, it's sort of like what is it the 10,000 hour rule or whatever where we're doing?

Speaker 1:

long enough, and now?

Speaker 2:

it's starting to, it is starting to go well, or do you think that there's just been a shift, any particular pivot that that you think is making it feel a little bit more like it's happening? Yeah, yeah.

Speaker 1:

So I think COVID impacted everybody, and what we see is the cost to deliver health care has gone up at such a fast rate that it's really going, in ways, passed through to the employer community, and that's not the right thing. The employers can't shoulder all that burden, so it's starting to force a conversation more from the employer side than it had been in the past, asking for help, and so what you're starting to see is organizations like ours across the country that are really trying to work directly with employers to figure out what can we do to make a difference for you. That can be primary care strategies. It can be a lot of different things.

Speaker 1:

Interesting, but the real key is how can we bring solutions to you as an employer that are specific to your employee?

Speaker 2:

population, your population Right, not just the population Right at large, exactly.

Speaker 1:

And that's where you start to see some real change.

Speaker 2:

And are you able to work? And see, I'm going to have to stop because we only have 10 minutes. And this is clearly an episode that I want to have, and we'll even come to Nashville for that one.

Speaker 1:

We'll welcome you, yes.

Speaker 2:

But so my last question is when we talk about employers, we always talk about benefits. So I should say health plans and then employers selecting benefits, and that's always been a big barrier for value-based care and for provider engagement and for taking risks. So do you think that that is starting to shift? Like? Are you all able to engage in that conversation around benefit design so that it really does support population health?

Speaker 1:

Yes, so there are a couple parts to that answer. Yes, there are First is, we'll work with anybody who wants to improve the care and the quality that is given to the populations we serve, and so any payer, any third party administrator, any collaborator that can help us on that mission. We're there, we'll talk to them. The reason I'm here today actually is to talk about a new collaboration with navigation capabilities, with Quantum Health and Quantum.

Speaker 2:

Health, being one of the nation's leaders in navigation.

Speaker 1:

We are a proven high value network. Yes, they are a proven capable resource for navigating to care providers. What we've realized is the additive capability of what each of us brings to the table. So we think the next step in that evolution is how do we work with the employers to incentivize their benefit plan?

Speaker 2:

Exactly To do that very thing.

Speaker 1:

Yeah, right, and so that's where the providers of care can get closer to, I think, solving the challenge that's fantastic well, outstanding. So yay, thank you.

Speaker 2:

Thank you so much for stopping by yeah, and now you have to go speak, so absolutely well.

Speaker 1:

Thanks for your time, appreciate it. Thanks for being here. We'll see you in nashville. Yes, sir.