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Episode 066: The Strategic Importance of Mission, Vision, & Values
Technology, Insurance, and Value-based Payment in Healthcare We’ve done episodes on the show about healthcare technology, insurance vs. private-pay healthcare, and value-based reimbursement arrangements. However, we’ve never combined all three into one topic before. What happens when you combine healthcare technology and insurance carriers? Sometimes, you end up with an organization that leverages their member data to drive outcomes and manage costs through value-based reimbursement arrangements and individualized care pathways. My guest this week, Unmesh Srivastava heads up technology and digital innovation at Clever Care, a health plan operating in the California Medicare Advantage Market. What makes them unique involves their use of data and technology to focus on and improve clinical outcomes for specific groups and populations based on their sociocultural backgrounds. We had a wide-ranging discussion ranging from the use of healthcare technology and data to improve outcomes all the way to value-based reimbursement arrangements. What we cover in this Episode: Using technology and artificial intelligence to unpack data gathered from plan members How social determinants of health affect clinical outcomes and vary across cultural backgrounds Differing incentives in healthcare payment and reimbursement Innovating the healthcare insurance space in the United States Different value perspectives of various stakeholders in healthcare Achieving Better Outcomes by leveraging data, technology, and reimbursement models Get Your Copy of My New Book Now! Connect with Unmesh LinkedIn Website (Clever Care) For More: If you enjoyed this episode: Join Rafael E. Salazar II, MHS, OTR/L (Rafi), principal of Rehab U Practice Solutions and host of