EP415: Some Jumbo Employers Buying Better Healthcare Outcomes While Saving 15% on Total Cost of Care, With Rob Andrews

Improving Healthcare Outcomes and Reducing Costs: Insights from Rob Andrews of HTA

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In Episode 415, Stacey Richter speaks with Rob Andrews, CEO of the Health Transformation Alliance (HTA), about how jumbo employers are achieving better healthcare outcomes while saving on total care costs. The discussion highlights the significant positive impact of targeted healthcare strategies on reducing readmissions and overall costs, particularly related to maternal health. Andrews elucidates how addressing root causes, negotiating data-driven contracts, and holding intermediaries accountable can create win-win scenarios for both employers and employees. The episode underscores the importance of using data to drive healthcare improvements and the role of self-insured employers in transforming healthcare delivery.

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07:29 How did Rob get to his current role?

09:11 The problem of maternal health and mortality rate, and how self-insured employers wind up directly and indirectly paying for this.

10:36 Why economic consequences move the needle, and why sometimes they don’t.

12:36 Why the best way to address costs isn’t to re-shift costs but to address them directly.

14:34 Why compensation that isn’t dependent on outcomes is a problem.

18:09 “Strategy’s not what people say; it’s what they do.”

21:40 How do you operationalize saving money with better outcomes?

29:46 How do employers turn conflict into collaboration?

31:41 What is the win-win-win structure among employers, payers, and providers in Rob’s eyes?

34:13 To whom should the task of risk adjustment fall?

38:03 “Better contracts do improve outcomes.”