1 00:00:00,000 --> 00:00:02,740 Evernorth brings the power of wonder and relentless 2 00:00:02,799 --> 00:00:05,599 innovation to create world class pharmacy, care, and 3 00:00:05,599 --> 00:00:06,580 benefit solutions. 4 00:00:07,200 --> 00:00:08,960 Barriers to care can lead to gaps in 5 00:00:08,960 --> 00:00:10,719 care, which can drive up the total cost 6 00:00:10,719 --> 00:00:13,839 of care. Our capabilities work seamlessly together to 7 00:00:13,839 --> 00:00:17,245 create innovative pharmacy care and benefit solutions for 8 00:00:17,245 --> 00:00:18,225 today and tomorrow. 9 00:00:18,765 --> 00:00:21,565 Our connected health services make the treatment, prediction, 10 00:00:21,565 --> 00:00:24,225 and prevention of health care's most complex conditions 11 00:00:24,685 --> 00:00:27,265 easier and more accessible as we drive organizations 12 00:00:27,404 --> 00:00:28,464 and people forward. 13 00:00:29,129 --> 00:00:31,210 This is Haley Recker with the Becker's Payer 14 00:00:31,210 --> 00:00:33,130 Podcast, and we are recording live at the 15 00:00:33,130 --> 00:00:35,869 Becker's third annual spring payer issues roundtable. 16 00:00:36,409 --> 00:00:37,929 I am thrilled today to be joined by 17 00:00:37,929 --> 00:00:40,969 Chris Wassel, president of strategic partnerships at Vantage 18 00:00:40,969 --> 00:00:42,969 Healthcare. Chris, thank you so much for being 19 00:00:42,969 --> 00:00:45,034 with me today. Thanks for having me today. 20 00:00:45,254 --> 00:00:46,854 Can I have you go ahead and introduce 21 00:00:46,854 --> 00:00:48,295 yourself? Tell us a little bit more about 22 00:00:48,295 --> 00:00:51,015 your background and your organization? Yeah. Yeah. So, 23 00:00:51,015 --> 00:00:52,695 again, my name is Chris Wassill. I'm the 24 00:00:52,695 --> 00:00:53,594 head of strategy 25 00:00:54,214 --> 00:00:56,634 and development for Vantage Healthcare. 26 00:00:57,570 --> 00:00:59,750 I have, over twenty years experience 27 00:01:00,210 --> 00:01:00,710 in 28 00:01:01,329 --> 00:01:02,310 health care operations, 29 00:01:03,010 --> 00:01:03,510 strategy, 30 00:01:04,049 --> 00:01:05,510 and value based payment. 31 00:01:06,290 --> 00:01:08,709 With Vantage Healthcare, we're the largest 32 00:01:09,329 --> 00:01:11,895 provider group of its type in New England. 33 00:01:12,034 --> 00:01:14,055 We operate in all six states 34 00:01:14,755 --> 00:01:16,615 to around 220 35 00:01:16,915 --> 00:01:17,415 locations. 36 00:01:17,954 --> 00:01:18,935 We're a mobile, 37 00:01:19,875 --> 00:01:23,015 physician practice, so have about a 110 providers, 38 00:01:23,599 --> 00:01:26,079 and we go on-site to skilled nursing facilities 39 00:01:26,079 --> 00:01:29,060 and assisted living communities. And we participate in, 40 00:01:29,599 --> 00:01:32,079 value based payment programs like ACOs, and we're 41 00:01:32,079 --> 00:01:34,159 looking at I SNPs and other pro such 42 00:01:34,159 --> 00:01:34,659 programs. 43 00:01:35,695 --> 00:01:38,195 Well, that's amazing. And I today, I'd like 44 00:01:38,575 --> 00:01:41,234 to focus our conversation on quality of care. 45 00:01:41,375 --> 00:01:44,015 Mhmm. There's an imperative to reduce costs while 46 00:01:44,015 --> 00:01:47,215 also improving quality and advancing health equity. So 47 00:01:47,215 --> 00:01:49,295 how would you approach aligning these priorities in 48 00:01:49,295 --> 00:01:51,234 your organization's strategic vision? 49 00:01:52,189 --> 00:01:53,969 I think the last couple of years, 50 00:01:54,590 --> 00:01:56,209 there's been more opportunity 51 00:01:56,670 --> 00:01:57,170 for, 52 00:01:58,189 --> 00:01:59,569 practices like ours 53 00:01:59,950 --> 00:02:02,450 and operators such as skilled nursing facilities 54 00:02:03,150 --> 00:02:05,890 to participate in value based payment 55 00:02:06,584 --> 00:02:08,425 programs, and it hasn't been the case in 56 00:02:08,425 --> 00:02:09,085 the past. 57 00:02:09,944 --> 00:02:12,104 And with that, particularly in the skilled nursing 58 00:02:12,104 --> 00:02:12,604 facilities, 59 00:02:13,384 --> 00:02:15,145 most of the patients we serve there are 60 00:02:15,145 --> 00:02:16,044 dual eligible. 61 00:02:16,824 --> 00:02:17,305 And, 62 00:02:17,625 --> 00:02:18,185 with that 63 00:02:18,680 --> 00:02:21,500 and with the value based payment program participation, 64 00:02:22,760 --> 00:02:23,900 particularly with our, 65 00:02:24,760 --> 00:02:25,980 ACO participation, 66 00:02:27,080 --> 00:02:30,219 it provides us with more tools and, 67 00:02:30,920 --> 00:02:32,620 the means to better 68 00:02:33,044 --> 00:02:35,944 treat those dual eligible patients in place, reduce 69 00:02:36,004 --> 00:02:36,504 hospitalizations, 70 00:02:37,444 --> 00:02:38,984 and, also, it gives the opportunity 71 00:02:39,284 --> 00:02:39,784 for 72 00:02:40,245 --> 00:02:42,905 the operators to to participate 73 00:02:44,004 --> 00:02:46,564 and do a better job managing care and 74 00:02:46,564 --> 00:02:48,185 managing patients in place. 75 00:02:48,590 --> 00:02:49,090 Absolutely. 76 00:02:49,629 --> 00:02:51,469 Now I really wanna hone in on that 77 00:02:51,469 --> 00:02:52,449 member satisfaction 78 00:02:52,830 --> 00:02:55,710 here. Member satisfaction is essential to thrive in 79 00:02:55,710 --> 00:02:58,349 today's competitive health care market. What experience or 80 00:02:58,349 --> 00:03:01,250 engagement strategies have proven effective for your organization, 81 00:03:01,310 --> 00:03:02,930 and how are you measuring success? 82 00:03:04,055 --> 00:03:05,514 Yeah. So we 83 00:03:06,294 --> 00:03:08,314 we launched a new service line. 84 00:03:09,094 --> 00:03:10,935 It was about four years ago. So we 85 00:03:10,935 --> 00:03:13,835 started out providing services in skilled nursing facilities, 86 00:03:14,055 --> 00:03:16,314 and we identified a need also, 87 00:03:17,739 --> 00:03:19,439 in assisted living communities. 88 00:03:19,740 --> 00:03:20,240 So, 89 00:03:21,020 --> 00:03:22,479 there was low satisfaction 90 00:03:23,340 --> 00:03:24,960 in some cases with, 91 00:03:25,659 --> 00:03:27,439 patients and their family members 92 00:03:28,060 --> 00:03:30,379 with the health care component of assisted living 93 00:03:30,379 --> 00:03:31,599 communities, which are 94 00:03:31,965 --> 00:03:34,705 typically geared more towards a social model. 95 00:03:35,564 --> 00:03:36,064 So, 96 00:03:36,365 --> 00:03:38,305 you know, with that, we were able to, 97 00:03:38,764 --> 00:03:39,245 create, 98 00:03:40,205 --> 00:03:42,465 a part of our physician practice that delivered 99 00:03:42,525 --> 00:03:44,729 on-site care. A lot of the 100 00:03:45,030 --> 00:03:47,530 dissatisfaction was around having to transfer 101 00:03:48,310 --> 00:03:51,110 patients off-site for their medical appointments and a 102 00:03:51,110 --> 00:03:52,250 lot of other appointments, 103 00:03:52,949 --> 00:03:55,430 and we were able to really eliminate that 104 00:03:55,430 --> 00:03:58,344 by bringing that care on on-site. So it 105 00:03:58,344 --> 00:03:59,164 really increased 106 00:03:59,465 --> 00:03:59,965 satisfaction. 107 00:04:00,745 --> 00:04:01,245 However, 108 00:04:01,705 --> 00:04:04,205 you know, over over time as we've grown 109 00:04:04,425 --> 00:04:06,525 that part of our practice very quickly, 110 00:04:07,145 --> 00:04:09,384 and with that, it's created, you know, other 111 00:04:09,384 --> 00:04:09,884 challenges. 112 00:04:10,745 --> 00:04:13,280 Like, you know, we have heavy family involvement, 113 00:04:13,340 --> 00:04:15,200 so it creates a lot of inquiries 114 00:04:15,980 --> 00:04:18,860 to our nurse care coordinator teams and support 115 00:04:18,860 --> 00:04:21,500 staff. And with all the call volume coming 116 00:04:21,500 --> 00:04:22,399 in, it really 117 00:04:22,860 --> 00:04:24,779 provides an opportunity for us to look at 118 00:04:24,779 --> 00:04:28,194 other ways to manage all that volume and 119 00:04:28,194 --> 00:04:30,455 do a better job to be able to 120 00:04:30,595 --> 00:04:33,395 really meet members' needs as far as follow-up 121 00:04:33,395 --> 00:04:34,455 on those inquiries. 122 00:04:35,955 --> 00:04:38,435 Absolutely. Well, thank you so much for joining 123 00:04:38,435 --> 00:04:39,175 me today. 124 00:04:39,790 --> 00:04:41,790 Again, this is Haley Rucker with the Becker's 125 00:04:41,790 --> 00:04:44,509 Payer Podcast recorded live at the Becker's third 126 00:04:44,509 --> 00:04:46,910 annual spring payer issues roundtable. Chris, thank you 127 00:04:46,910 --> 00:04:48,930 so much. Thank you. Have a good day.