Repairing Fragmented Care with Value-Based Strategies

September 30, 2024

Appearing on the Health Care Rounds podcast, Evolent Senior Director for Value Transformation Kamal Golla explains why value-based specialty care is primed for growth.

About 1 of every 3 patients gets referred by their primary care provider to a specialist. And 40-50% of all outpatient visits are with specialists. Evolent Senior Medical Director for Value Transformation Vishnukamal Golla joined the Health Care Rounds podcast to discuss trends in value-based specialty care, including the need to integrate care across settings and providers. 

Listen on your favorite podcast platform: 

Can’t listen to the whole episode? Fast forward to some highlights: 

  • The state of value-based care – the headwinds it faces as well as the forces moving it forward (10:05)  

  • The growth in utilization of specialty care and the challenges that growth poses for care coordination (12:35) 

  • The similarities and differences between value-based programs in primary care and specialty care (18:35) 

  • The perverse incentives helping to drive the use of costly drugs (24:54)  

  • Why quality of care should be the first, second and third consideration when evaluating high-cost oncology drugs. (28:20) 

  • The growing importance for health plans to improve the patient and member experience, and the trends driving that (31:40) 

  • Why we need to retire the “blunt instruments” focused on short-term cost savings for value-based programs spanning the continuum of care. (33:15)  

  • The ways that risk-based arrangements enable innovation, such as care navigation, to improve management of the most complex conditions (34:58)  

  • The trends encouraging risk-bearing organizations to look more at specialty care as an opportunity to drive better quality and value (38:27) 

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