Rick Gilfillan's guest appearances

Rick Gilfillan

GeriPal

The ACO Show

John Newman

Scott Bauer

BJ Miller

Andy Cohen

Aaron Kesselheim

Louise Aronson

Haider Warraich

Lewis Cohen

Stephanie Rogers

Tim Anderson

Jessica Zitter

Susan Block

John Mills

Katie Fitzgerald

John Nelson

OwlTail

Co-host Brian (@chiglinsky) is joined by Dr. Farzad Mostashari (@Farzad_MD), CEO and co-founder of Aledade, and Dr. Richard Gilfillan, former Deputy Administrator of the Centers for Medicare and Medicaid Services and Director of the Center for Medicare and Medicaid Innovation from 2010 to 2013, for a special episode of The ACO Show. They discuss the future of Medicare and Dr. Gilfillan’s recent co-authored, two-part piece in Health Affairs, “Medicare Advantage, Direct Contracting, And The Medicare ‘Money Machine’.”   

Co-host Brian (@chiglinsky) is joined by Dr. Farzad Mostashari (@Farzad_MD), CEO and co-founder of Aledade, and Dr. Richard Gilfillan, former Deputy Administrator of the Centers for Medicare and Medicaid Services and Director of the Center for Medicare and Medicaid Innovation from 2010 to 2013, for a special episode of The ACO Show. They discuss the future of Medicare and Dr. Gilfillan’s recent co-authored, two-part piece in Health Affairs, “Medicare Advantage, Direct Contracting, And The Medicare ‘Money Machine’.”

115. The Future of Medicare with Dr. Rick Gilfillan

Don Berwick

Investor money and venture capital funding is pouring into Medicare Advantage (MA) plans. Enrollment in MA plans has more than doubled from 12 million members in 2011 to 26 million in 2021. What does this mean for us and our patients? Do these plans deliver better care for vulnerable older adults? Or are they a money making machine driving up healthcare costs in the name of profit?  On today’s podcast, we are joined by UCSF geriatrics fellow Alex Kazberouk to talk with Dr. Don Berwick (founder of the Institute for Healthcare Improvement, former administrator of Center for Medicare and Medicaid Services) and Dr. Richard Gilfillan (former CEO of Geisinger Health Plan and Director of the Center for Medicare and Medicaid Innovation). Their recent  two  part post on the Health Affairs Blog about the Medicare “Money Machine” has stirred up a debate about challenges and misaligned incentives within Medicare Advantage. We talk about:  What Medicare Advantage is all about - its history, operations, potential benefits, and what it means for us and our patients Rick and Don’s Health Affairs post on the downsides of MA plans and the Medicare “Money Machine” Policy solutions to improve the system without throwing the baby out with the bathwater  We also touch upon prior podcast topics such as the  area deprivation index and  population health. As a special, Alex plays a superb rendition of this song which is definitely not a Rickroll. This is part one of a two part series on Medicare Advantage and healthcare financing. We have a follow-up with Claire Ankuda and Cheryl Philips on Special Needs Plans and the Medicare Advantage Hospice Carve-In coming soon.

Investor money and venture capital funding is pouring into Medicare Advantage (MA) plans. Enrollment in MA plans has more than doubled from 12 million members in 2011 to 26 million in 2021. What does this mean for us and our patients? Do these plans deliver better care for vulnerable older adults? Or are they a money making machine driving up healthcare costs in the name of profit?  On today’s podcast, we are joined by UCSF geriatrics fellow Alex Kazberouk to talk with Dr. Don Berwick (founder of the Institute for Healthcare Improvement, former administrator of Center for Medicare and Medicaid Services) and Dr. Richard Gilfillan (former CEO of Geisinger Health Plan and Director of the Center for Medicare and Medicaid Innovation). Their recent <a href="https://www.healthaffairs.org/do/10.1377/hblog20210927.6239/full/" rel="nofollow" target="_blank"> two</a> <a href="https://www.healthaffairs.org/do/10.1377/hblog20210928.795755/full/" rel="nofollow" target="_blank"> part</a> post on the Health Affairs Blog about the Medicare “Money Machine” has stirred up a debate about challenges and misaligned incentives within Medicare Advantage. We talk about: <ol> <li>What Medicare Advantage is all about - its history, operations, potential benefits, and what it means for us and our patients</li> <li>Rick and Don’s Health Affairs post on the downsides of MA plans and the Medicare “Money Machine”</li> <li>Policy solutions to improve the system without throwing the baby out with the bathwater</li> </ol> We also touch upon prior podcast topics such as the <a href="https://geripal.org/neighborhood-disadvantage-and-health-a-podcast-with-amy-kind/" rel="nofollow" target="_blank"> area deprivation index</a> and <a href="https://geripal.org/health-care-of-older-persons-time-to/" rel="nofollow" target="_blank"> population health</a>. As a special, Alex plays a superb rendition of <a href="https://www.youtube.com/watch?v=dQw4w9WgXcQ" rel="nofollow" target="_blank">this song</a> which is definitely not a Rickroll. This is part one of a two part series on Medicare Advantage and healthcare financing. We have a follow-up with Claire Ankuda and Cheryl Philips on Special Needs Plans and the Medicare Advantage Hospice Carve-In coming soon.

Medicare Advantage and the "Medicare Money Machine": Guests Dr. Don Berwick & Dr. Rick Gilfillan