The Elephant of Healthcare, Insurance – Jeb Dunkelberger

Jeb Dunkelberger,

CEO - Sutter Health | Aetna

No matter what type of discussion we have regarding healthcare on this podcast, there is always one constant – Insurance. Insurance is the middle man between the provider and the patient and determines much of the transaction. In this episode we dive into the business of healthcare with the youngest CEO of an insurance/healthcare company ever – Jeb Dunkelberger. Not only is he the youngest CEO, but also the author of Rich and Dying, An Insider Calls Bullsh*t on America’s Healthcare Economy.

Have you ever wondered what preventive medicine means to a healthcare executive? That question and many more you didn’t even know you had are answered by Jeb in this episode. Jeb brings unique perspectives to the table as we discuss the incentives of insurance companies, the cost of healthcare in the USA, the relationship between insurance companies and physicians, and so much more! However, the most important question we discuss is the one of making our system better. This is one you don’t want to miss!

Show Notes

(1:00 – 4:00) – Introductions

Question 1 : Tell us a little bit about yourself and why you decided to go into medicine

(4:00 – 7:30) – Setting the Scene

Question 2: Where did you come up with the idea for this book and why did you decide to write it?

Question 3: What does preventive medicine mean to you from the insurance or administrator side?

(7:20 – 17:20) – Incentives

Question 4: How do we align the incentives of insurance companies and the general populace?

Question 5: There are many physicians who have recently been talking about how bad insurance companies are. Are physicians and insurance companies aligned?

Question 6: What are you thoughts on insurance coverage in instances such as the emergency room where neither the patient, physician, or insurance company may be linked?

(17:20 – 24:30) – Footing the Bill

Question 7: Why do we spend so much on healthcare and what can we do about it?

Question 8: Do you have any thoughts on the skyrocketing amount of administrators within healthcare compared to physicians?

(24:30 – 31:00) – Healthcare and Insurance Models

Question 9: What are the differences between different healthcare plans and why are there so many of them?

Question 10: From the consumer perspective, why do people pay different amounts for insurance and what are they paying for?

(32:00 – 44:10) – Trends in Insurance and Healthcare

Question 11: Do you think the trend of employer tied insurance should continue? What is value-based reimbursement?

Question 12: Value-based reimbursement is an ideal but may not be the most practical based on your book. How do we bridge the gap between what we have with fee-for-service and value based reimbursement?

(44:10 – 54:00) Funding Prevention and Medicare for All

Question 13: Why aren’t preventive measures incentivized more by insurance companies when it comes to reimbursement?

Question 14: What are your thoughts on medicare for all? What does the middle ground between the free market and government sponsored healthcare look like?

(54:00 – 1:04:15) – The Solution

Question 15: How do we fix healthcare, where is the middle ground?

Question 16: What are some of the key points you want listeners to take home from this episode?

 

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