Dr. Clay Johnston is the Former Dean of the University of Texas Dell Medical School and Co-founder and Chief Medical Officer of Harbor Health. Johnston received his MD from Harvard and Ph.D. from UC-Berkeley before leading a distinguished career as an academic neurologist. He then spearheaded the launch of UT's Dell Medical School, pioneering a more innovative curriculum and cutting costs within the system - sometimes as high as 80 percent, while improving patient results! Learn how he's scaling these lessons into our broader health system with Harbor Health - a new startup designed to transform healthcare as we know it and dramatically reduce costs while enhancing patient outcomes.
Lots of respect for Dr. Johnston (and we met years ago when he was just starting at Dell Medical School), but the whole premise of "value-based-care" (VBC) is built on the fiction that "fee-for-service" (FFS) healthcare is broken (or the "wrong incentive"), and it's not. We know this because FFS works reasonably well in every other industrialized country. The US is the (big) outlier - but it's not because of the FFS model of healthcare.
The reason is because we're the only country that tiers health coverage - which only serves one purpose - to support tiered (and uncapped) pricing. Single-payer healthcare works - but isn't necessary (or a good fit for us). What's necessary is single-pricing. That's the systemic flaw - not #VBC versus #FFS.
Lots of respect for Dr. Johnston (and we met years ago when he was just starting at Dell Medical School), but the whole premise of "value-based-care" (VBC) is built on the fiction that "fee-for-service" (FFS) healthcare is broken (or the "wrong incentive"), and it's not. We know this because FFS works reasonably well in every other industrialized country. The US is the (big) outlier - but it's not because of the FFS model of healthcare.
The reason is because we're the only country that tiers health coverage - which only serves one purpose - to support tiered (and uncapped) pricing. Single-payer healthcare works - but isn't necessary (or a good fit for us). What's necessary is single-pricing. That's the systemic flaw - not #VBC versus #FFS.
http://hc4.us/oneprice
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