Smart conversations with the people moving health care forward. Health Care Rounds podcast brings together the leaders changing the future of health care and pharma, from how it's delivered and paid for, to where it's headed. Each episode goes deep on the decisions, innovations, and ideas reshaping the industry from the inside out. Hosted by John Marchica, CEO of Darwin Research Group and a longtime industry insider, every episode has one goal: leave you thinking differently than when you…
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A few weeks ago we conducted a survey of Our Take readers that included both listeners to our podcast and those who don’t (the latter group, we assume, was interested enough to complete a survey). We asked for questions you would like John to answer, and we got some great ones, including today’s question about vaccines and the long-debunked link between the MMR vaccine and autism spectrum…
Health care is 18% of U.S. GDP, the number one affordability concern for consumers, and the single biggest line item employers are trying to manage. Every major policy fight in American health care, at its core, comes down to money and who bears the cost. Larry Levitt, incoming CEO of KFF and one of the most trusted nonpartisan voices in health policy, joins host John Marchica to examine why…
Decades of quality measurement programs were designed to make U.S. health care better. The evidence suggests they have, just not nearly as much as anyone hoped, and sometimes in ways that hurt the patients who needed help most. Dr. Rachel Werner, Professor of Medicine, Perelman School of Medicine at the University of Pennsylvania, joins host John Marchica to examine why well-designed quality…
After a year of interviews about value-based care, the same things keep coming up. Fee-for-service is still the problem. Payers want to pay less, providers want to bill more. And twenty years in, the people who helped build value-based care are grading it a C-minus. In his first solo episode, host John Marchica goes back through the transcripts and pulls out what guests agree on: the problems…
Decades after the research that proved high-spending regions don't produce better care, and 20 years after the term "accountable care organization" was coined, the U.S. health care system still runs overwhelmingly on fee-for-service. The incentives haven't changed, and the results show it. Dr. Elliott Fisher, Professor of Health Policy at the Dartmouth Institute and the Geisel School of Medicine…
Rural hospitals in the U.S. have been closing at a steady pace for over 50 years, and the country now has one of the lowest rates of acute hospital beds per capita among OECD nations. A five-year, $50 billion federal program aims to slow the bleeding, but it may only be a stopgap. Dr. Tim Ferris, Vice President of the Health Care Practice at InterSystems and former National Director of…
U.S. health care spending keeps rising, quality scores keep climbing, and yet the care most Americans receive has barely improved. The measurement systems designed to drive better outcomes may be making things worse. Dr. Michael Chernew, Professor of Health Care Policy at Harvard Medical School and former Chair of MedPAC, joins host John Marchica to examine why decades of quality measurement have…
Value-based care has been the defining promise of health care reform for two decades. Yet new evidence still takes an average of 17 years to reach standard clinical practice, payers and providers remain structurally misaligned, and most VBC models still prioritize payment mechanics over actual patient outcomes. Don Calcagno, Founder of ValuesEdge and former Chief Population Health Officer at…
Primary care physicians are burning out, and patients are paying the price. With the average primary care visit lasting just 15 minutes, the volume-based treadmill is pushing doctors out of the profession and leaving patients without meaningful, preventive care. Larry Kutscher, CEO of MDVIP, joins host John Marchica to make the case for a fundamentally different model. They dig into why membership…
Health care spends trillions treating disease, but far less preventing it. The gap between what we know works and what actually gets implemented may be the most expensive problem in medicine. Dr. Barry Davis, physician, professor, and author of Preventioneers, joins host John Marchica to explore why prevention so rarely makes it from research to reality, and what it would take for health system…
