Ep 188 – Connecting the Healthy Outcomes of Patients Directly to Healthier Profitability, with Kyle Wailes

The Race to Value Podcast

23-10-2023 • 47 min

Connecting the health and wellbeing of patients of patients directly to the bottom line isn’t just good business; it is a visionary approach that shows how healthier outcomes can actually drive healthier profitability. Continued success in demonstrating the correlation between clinical and financial outcomes will be a catalyst for generating societal wellbeing that paves the way for others to adopt value-based care.  And in doing so, we create a more sustainable and effective healthcare ecosystem. In this Race to Value, the true race isn’t about speed; it is about the journey to improved outcomes. Strategic and transformational partnerships guided by an enabling vision to improve population health will ultimately create a healthcare system that we can be proud of. In this episode, you will hear from Kyle Wailes, the Chief Executive Officer and Board Member of value-based care company, Wellvana.  Kyle Wailes is someone on a mission to demonstrate how fully-capitated models in primary care, empowered by the right partnerships to create enablement, will ultimately drive patient behavior change.  Under his leadership, Wellvana is an industry-leading example of a company that is connecting the healthy outcomes of patients directly to healthier profitability. With the tools, technologies, analytics, and resources for healthcare providers to successfully and seamlessly transition to value-based care, Wellvana is getting outstanding results and growing at an exponential rate for such a young company.  This is highlighted by the recent announcement of their partnership with AdventHealth to revolutionize primary care in the state of Florida.  Don’t miss this important interview to learn more about VBC enablement, high-touch primary care and clinical integration, the power of storytelling, patient behavior change, lifestyle medicine, and the current state of private equity investment in healthcare!   Episode Bookmarks: 01:30 Connecting healthy outcomes of patients to healthier profitability.  (A High-Touch Approach for High Performers) 02:00 Introduction to Kyle Wailes, Chief Executive Officer and Board Member at Wellvana. 04:00 Big Announcement -- AdventHealth partners with Wellvana to transition its Florida primary care network to VBC 05:00 Wellvana is the first value-based care enablement organization in the country to partner with a multi-state/national health system. 06:00 Kyle provides more details on how Wellvana’s recently announced partnership will impact the delivery of healthcare in Florida. 06:30 “Building clinically integrated primary care networks across the country requires flexibility.” 07:00 Expanding primary care impact through interdisciplinary roles (e.g. case management, care coordination, pharmacy integration, social work, coding) 07:45 Health systems across the country are extremely distressed with expenses growing 2X as fast as Medicare payments. 09:30 “The pandemic has been an accelerant overall to drive the adoption of value-based care.” 09:45 The opportunity to reposition primary care in the health system setting, taking it from loss leader to profit center, as a strategic cornerstone for transformation. 10:00 A health system focused only on fee-for-service can lose up to $200-300K per employed PCP. 10:30 “Clinically integrated primary care networks can drive better clinical outcomes, but they can also drive profit and growth as well.” 11:00 Flexibility in growing a PCP network through either an employed or affiliated model. 11:30 Kyle’s personal journey as a professional athlete, student of neuroscience, and value-based healthcare executive. 12:30 “The Story of the Chinese Farmer” – a parable that illustrates the idea that events that initially seem bad or good can lead to unexpected outcomes. 14:00 Kyle provides perspective on the highs and lows of life and how that translates to theculture at Wellvana. 15:00 Lessons learned from playing competitive sports (discipline, hard work,

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