『EP532: Why Avoidable ER Visits Aren't the Real Cost Problem: Revisiting Our 2016 Interview With HHS Nominee Chris Klomp』のカバーアート

EP532: Why Avoidable ER Visits Aren't the Real Cost Problem: Revisiting Our 2016 Interview With HHS Nominee Chris Klomp

EP532: Why Avoidable ER Visits Aren't the Real Cost Problem: Revisiting Our 2016 Interview With HHS Nominee Chris Klomp

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Today we are dipping into the archives for an essential replay from 2016, one decade ago, featuring Chris Klomp back when he served as CEO of a company called Collective Medical. With the nomination of Chris Klomp to serve as deputy secretary of the Department of Health and Human Services (HHS), all eyes are kind of on how he plans to manage a nearly $2 trillion federal health apparatus. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. Hey, turns out I have a semi-decent track record for finding the folks who are going to make a difference or who are making a difference and bringing them to you, Relentless Health Value tribe. Or it could be that—what do they say?—twice a day a blind squirrel finds a nut. I could edit out that metaphorical mess I just made, but I'm not going to so you can fully appreciate the work that our editor, Tom Nash, has cut out for him. Okay … so, a decade ago, Chris Klomp, as a CEO, was focused on one of the most stubborn bottlenecks in healthcare: frequent emergency department visits and systematic lack of care coordination therein. In this conversation that follows, in this earlier episode, he broke down how real-time insights and aligned incentives can prevent avoidable hospital utilization. Listening back today provides a kind of rare, candid preview of the operational philosophy which may now shape Chris Klomp's view on health policy. Now, you might consider this a very, very short introduction 'cause I'm wrapping up here. But never fear. Instead of chewing your ear off at the top of the show, like I normally do, I'm gonna spread my commentary inside the conversation with Chris Klomp that follows, just to kinda keep everything in context. Also, speaking of changes around here, we are experimenting with a new way to start the show that kinda jumps right in instead of trying to figure out a, like, one-sentence title for the entirety of the episode. Maybe I'm just terrible at titles (which might be fair enough), but it also seems like the main point or summary or takeaway of any given show, it only sorta starts to come out when the episode hits you lot, you Relentless Tribe, you listeners. You go on LinkedIn and pull out and parse and respond, and then all of a sudden, I wish the episode had a different name or a different title based on the sometimes really crystal-clear reflections and insights that I read or hear about later on and after the dust settles. So, if you have thoughts on this—seems like a big deal to us, but maybe it's not a big deal to you—if you have any thoughts, do share. This is Relentless Health Value. Thank you so much to Aventria Health Group, which is our founding sponsor. Thank you also so much to our series underwriter in 2026, Payerset. And I just wanna let you know that Payerset just posted about 129,000 self-funded employers' allowed amounts on their Web site for free. So, do go over to Payerset's Web site if you wanna check that out. Also, thank you very much to Patient Rights Advocate for a really, really nice donation this year. It's so important to helping keep this show on the air. Again, this is the show from 2016 with Chris Klomp. Also mentioned in this episode are Tom Nash; Arielle Bose; Aventria Health Group; Payerset; Patient Rights Advocate; Collective Medical Technologies; Mick Connors, MD; Al Lewis; Peter Smulowitz, MD, MPH; Leah Honigman, MD; Bruce Landon, MD, MBA; John Lee, MD; Monica Lypson, MD, MHPE; Kenny Cole, MD; Scott Conard, MD; and Jerry DiMaso. For a list of healthcare industry acronyms and terms that may be unfamiliar to you, click here. Chris Klomp is the chief counselor at the U.S. Department of Health and Human Services. He has driven healthcare reform at state and federal levels, focusing on value-based care and interoperability. He built Collective Medical; has co-founded, advised, and served on the board of many innovative start-ups and on the Utah Digital Health Services Commission; and worked at Bain Capital and Bain & Company. Chris holds a bachelor of arts degree with honors in economics and English from Brigham Young University and an MBA from Stanford. 00:00 Introduction to this episode. 04:38 Reducing wasteful spend in healthcare. 05:37 The percentage of total healthcare costs that goes to emergency medical spend in the U.S. 06:07 EP467 with Stacey. 07:09 Why ED spending is low-hanging fruit. 08:17 How EDs operate as choke points. 09:14 Impacting what happens in the emergency department. 17:34 What happens when a patient enters the ED. 20:57 Why it's important to have data available to everyone who might touch the patient. 23:44 EP495 with Mick Connors, MD. 23:51 EP464 with Al Lewis. 23:58 Research from Peter Smulowitz, MD, MPH; Leah Honigman, MD; and Bruce Landon, MD, MBA. 24:45 The need-to-know when it comes to managing data. 28:01 Thinking about risk and imminent ...
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