5. How Direct Primary Care Helped One Family Manage Severe Allergies - with Rachel McLauchlin, REBC®
Release Date: 06/10/2024
8. Transforming Healthcare with Josh Archambeau: From Romneycare to Cash Payment Policies
Off the Rails
In this insightful episode, we sit down with Josh Archambeau, a prominent figure in healthcare policy reform, to explore his significant contributions and the current state of the healthcare system. Josh discusses his role in crafting and promoting legislation that allows patients to apply cash payments toward in-network deductibles, a move aimed at making healthcare more accessible and affordable. He shares his journey into the world of healthcare policy, starting with his work alongside Governor Mitt Romney on Romneycare, providing an insider's perspective on the complexities of healthcare...
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7. Revolutionizing Healthcare: The Role of Direct Primary Care and Holistic Health Approaches
Off the Rails
In this episode, Rohan Kulkarni, a healthcare industry expert from HFS Research. Together, they delve into the current state of the U.S. healthcare system, the critical role of primary care, and the innovative trends reshaping the industry. Rohan shares his unique insights on the failures of value-based care, the potential of direct primary care (DPC), and the importance of a holistic approach to health. They also touch on the broader socio-economic factors impacting healthcare and the need for systemic change. Key Takeaways from this Episode: The U.S. has a critical shortage of primary care...
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6. Navigating Healthcare Quality: Insights into MIPS, Revenue Cycles, and Provider Challenges with Craig Epstein
Off the Rails
In this episode, Craig and I discuss the intricacies of the revenue cycle, the impact of quality measures on healthcare practices, and the challenges faced by providers. From the effectiveness of the Merit-based Incentive Payment System (MIPS) to the real-world implications of healthcare regulations, Craig shares his expert insights and experiences. We also touch on personal anecdotes that highlight the critical issues within our healthcare system. Key Takeaways from this Episode: Challenges in Revenue Cycle Management: The healthcare revenue cycle is fraught with inefficiencies and...
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5. How Direct Primary Care Helped One Family Manage Severe Allergies - with Rachel McLauchlin, REBC®
Off the Rails
In this episode, we welcome Rachel McLaughlin, REBC®, VP of Business Development for a pharmacy benefit manager (PBM). Throughout our conversation, Rachel delves into the complexities of the healthcare system, exploring topics ranging from direct primary care (DPC) to the challenges posed by pharmaceutical costs. With her extensive experience and unique perspective, Rachel sheds light on the intricacies of healthcare delivery and emphasizes the pressing need for innovation and advocacy. Join us as Rachel unravels the nuances of healthcare, offering insights and potential pathways to mitigate...
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4. Innovative Treatments and the Fight for Mental Healthcare Reform with Michelle Bernabe
Off the Rails
In today’s episode of the Off the Rails Podcast, Michelle Bernabe joins me to discuss challenges of providing mental healthcare, including the need for dedicated psychiatric emergency rooms and a collaborative team of medical professionals. Michelle shares her insight on the transformation occurring in psychiatric care, moving towards rapid-acting, neurotherapeutic treatments like ketamine, transcranial magnetic stimulation (TMS), and stellate ganglion blocks. These treatments offer quick relief for various mental health conditions, challenging traditional talk therapies and...
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1. Innovative Peripheral Nerve Surgery and the Future of Healthcare Access with Dr. Demetrio Aguila
Off the Rails
In this episode, Sidney and Dr. Demetrio Aguila discussed the challenges and opportunities in the healthcare industry, particularly in peripheral nerve surgery. They emphasized the need for innovation, better understanding of the peripheral nervous system, and patient-centered care. Sidney and Demetrio shared their experiences and perspectives on peripheral nerve surgery, including its effectiveness for chronic pain management. They also discussed the importance of transparency in billing and payment processes and the potential benefits of cryo analgesia for patients with multiple...
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2. Innovations in Orthopedic Surgery: A Discussion on Outpatient Joint Replacements, Value-Based Care Models, and the Future of Musculoskeletal Healthcare with Dr. Benjamin Schwartz
Off the Rails
The conversation centered around the growing trend of outpatient joint replacements, the increasing number of younger patients requiring joint replacements, and the need for resources and preparation in the healthcare system to accommodate this trend. Benjamin also discussed the importance of managing costs and patient experience in total joint replacement surgeries, as well as the potential of chatbots and AI to provide tailored information and support to patients. Additionally, they highlighted the challenges of integrated care delivery within large health systems, the success of...
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3. Discussing Innovative Payment Models with David Balat
Off the Rails
The conversation revolved around the relationship between direct care and prospective payment systems. Learn more about: Direct primary care, bundled healthcare, and prospective payment systems. Direct primary care and its benefits, including personalized care and upfront pricing. Healthcare transparency and patient empowerment. And so much more Employers, providers, and other healthcare stakeholders should work together to implement bundled pricing models, direct care, and streamlined payment processes. This will help reduce administrative waste, lower costs,...
info_outlineIn this episode, we welcome Rachel McLaughlin, REBC®, VP of Business Development for a pharmacy benefit manager (PBM). Throughout our conversation, Rachel delves into the complexities of the healthcare system, exploring topics ranging from direct primary care (DPC) to the challenges posed by pharmaceutical costs. With her extensive experience and unique perspective, Rachel sheds light on the intricacies of healthcare delivery and emphasizes the pressing need for innovation and advocacy. Join us as Rachel unravels the nuances of healthcare, offering insights and potential pathways to mitigate cost burdens and enhance patient care.
Key Takeaways from this Episode:
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Direct Primary Care (DPC) offers personalized, holistic healthcare solutions that transcend conventional models.
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Primary care physicians, like Dr. Nikila Schroeder, often possess specialized expertise, allowing for targeted treatment approaches within the realm of primary care.
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Innovative treatments such as sublingual immunotherapy (SLIT) hold promise in addressing chronic conditions like severe allergies.
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Pharmacy Benefit Managers (PBMs) play a crucial role in managing pharmaceutical costs, with transparency and clinical guarantees being key differentiators.
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Policy shifts, such as those post-ACA, have led to unintended consequences, including escalating pharmaceutical costs and accessibility challenges.
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Advocacy efforts are essential in driving systemic change and exploring innovative solutions, such as international drug sourcing, to mitigate healthcare cost burdens.
Rachel McLaughlin can be contacted via Linkedin @rachelmclauchlin/
Off the Rails podcast: https://www.offtherails.show/