Ep 193 – Beyond Brick and Mortar: Home-Based Primary Care with Full-Risk Medicare Advantage, with Dr. Jeffrey Kang and Mike Stuart

The Race to Value Podcast

27-11-2023 • 1 hora 3 min

The future of care is not confined by walls; it thrives in the heart of homes, where compassion meets innovation, and healing becomes a daily experience. Home-based primary care with full-risk Medicare Advantage is a transformative model that not only brings health care to the doorstep of our seniors but also places the responsibility for their well-being squarely in the hands of dedicated providers, creating a proactive and patient-centered approach to aging with dignity and comprehensive care. By making primary care easier to access for our nation’s seniors, we can deliver personalized care that meets their needs; help them stay healthy and feel better; and live well with existing conditions so they can prepare for what’s ahead. This week we are joined by two executive leaders from WellBe Senior Medical -- the largest and fastest growing independent home-based medical group in the country. WellBe is a global risk medical group that provides longitudinal geriatric care to underserved, frail, complex, and homebound Medicare Advantage beneficiaries. In this episode, we feature Dr. Jeffrey Kang, Chief Executive Officer and Mike Stuart, Chief Growth Officer from WellBe Senior Medical. Dr. Kang is a geriatrician with extensive experience in global risk and primary care for frail, elderly, and disabled populations.  Mike Stuart has extensive experience in fostering partnerships with health plans, health systems, and provider groups and leads commercial strategy and partnership development for WellBe Senior Medical.  In this interview you will learn about the home-based care continuum, primary care innovation, mission-driven leadership, Medicare Advantage risk, and the future of value-based primary care. Episode Bookmarks: 01:30 An overview of WellBe Senior Medical – a global risk primary care group providing longitudinal geriatric care in the home. 02:30 Introduction to Dr. Jeffrey Kang, WellBe CEO (formerly served as ChenMed President, Walgreens SVP, Cigna CMO, and CMS CMO). 03:00 Introduction to Mike Stuart, WellBe Chief Growth Officer (formerly served in executive leadership roles at Somatus and Evolent). 05:00 An overview of the home care continuum (e.g. acute, post-acute, custodial, longitudinal primary care, DME, home infusion). 08:00 How WellBe is helping patients navigate and coordinate the fragmentation of home care point solutions. 10:30 A mission to help senior patients “lead healthier meaningful lives by delivering the most complete care”. 11:30 Opportunities to make care in the home more multidisciplinary, personalized, and SDOH-responsive. 12:00 Proactive vs. Reactive Care (leveraging analytics and unique provider skillsets for population health). 13:30 The clinical persona of the “frail elderly” and why WellBe focuses on this target population. 14:30 “Everything done in a primary care office can actually be done at home.” 15:30 “Home-based primary care is the best thing to do. You get better outcomes and better patient satisfaction.” 15:45 Is it possible to deliver high quality primary care (like ChenMed or Oak Street) in the home setting? 16:30 Referencing Marcus Welby, M.D. as an example of an empathetic approach to delivering care in the home (see Season 1 Trailer) 17:00 Care Fragmentation Challenges - NEJM found that the average Medicare patient sees a median of two PCPs and five specialist physicians per year. 18:00 “Quality of Life” is more important than “Quantity of Life” (why empathy and compassion matter most in caring for frail seniors). 19:30 Patients define a good doctor by bedside manner and respect given. 20:30 How the economics of full global risk enable complete care models for seniors. 20:30 Scalable home-based primary care is a new approach in value-based care. 23:00 WellBe’s results (e.g. >50% neighborhood engagement, patient satisfaction is at 95%, and MLR improvement >40% in 3yrs). 23:30 The importance of reaching a 4 Star Rating in a Medicare Advantage plan.

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