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Value-based care has the dubious distinction of being the oldest new idea in health innovation. For decades we’ve talked about the benefits of creating medical payment structures that tie compensation to the patient’s outcome, rather than simply paying for services. It’s pretty clear that if a hospital makes its money off of performing certain tests or procedures, it’s going to have a bias – whether overt or subconscious – towards doing more of those tests and procedures. There’s no financial incentive to give the patient a lower-cost option that’s just as effective.
The alternative to America’s “fee for service” model is one where financial risk is shared by multiple entities, and pricing is bundled in a transparent way. This so-called value-based structure does away with surprise bills, and makes sure that doctors and hospitals are financially incentivized to keep patients healthy. Of course, that’s an oversimplification, and we could have a whole other episode about the role of fee-for-service medicine, but that’s not our subject for today.
Today, we’re getting a look at how value-based healthcare companies are faring through the lens of two StartUp Health companies, Cityblock Health and Enlace Health.
Recently, StartUp Health brought together nearly 100 of our portfolio companies at HLTH in Las Vegas, and while on the show floor, we caught up with some of our top founders in the StartUp Health Studio. That included Bill Nordmark, CEO of Enlace Health, which last year raised a $60M series D, and Dr. Kameron Matthews, Chief Health Officer at Cityblock Health, which is now valued at more than a billion dollars. Both of these companies are making value-based care business models a reality. For Enlace, it’s about building a new infrastructure that allows other companies to operate successfully within a new financial model. For Cityblock, it’s about deploying value-based care at scale in a way that addresses the needs of vulnerable populations.
Listen in for Logan Plaster’s chats with Bill Nordmark and Dr. Kameron Matthews, held in the busy StartUp Health Pavilion at HLTH in Las Vegas.
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