Issue link: https://beckershealthcare.uberflip.com/i/1507870
41 INNOVATION How Risant Health aims to outshine disruptors By Giles Bruce W hen Kaiser Permanente agreed to acquire Geisinger and form a new value-based care organization, Risant Health, it had competition in mind: for-profit healthcare disruptors. In recent years, companies such as CVS Health and Optum have been positioning themselves for the potential shi from fee-for-service to value-based care. eir moves include merging with payers and acquiring providers, transitioning toward the "payvider" model that the Oakland, Calif.-based health system pioneered. Greg Adams, chair and CEO of Kaiser Permanente, told Becker's that competing with disruptors was part of the reason for starting Risant Health. "As healthcare emerges from the worst effects of the pandemic, we are not seeing sufficient movement toward coming together, but rather, a resumption of the pre-pandemic business trends of consolidation, volume-driven care and a worsening of the fragmentation and gaps in our healthcare system," Mr. Adams said. "While some new players share our vision of integrated value-based care for all, we see other new and disruptive market entrants whose business models seem aimed at serving just the healthiest people, which increases fragmentation and ultimately increases the cost of care for everyone." Most health systems' primary care networks are made up of different operations models that serve patients of a variety of ages and demographics, said Jolynn Suko, senior vice president and chief innovation officer of Fort Wayne, Ind.-based Parkview Health. Disruptors, meanwhile, oen care for a "narrower segment of patients" and have more standardized operating systems. When Amazon purchased One Medical in February for $3.9 billion, it bought a company that provides concierge primary care for a yearly subscription (on top of billing patients' insurance). e tech giant's new Amazon Clinic telehealth platform is self-pay only. Disruptors oen don't accept Medicaid. "Many organizations, including national for-profit disruptors, focus their value-based care efforts primarily on reimbursement models, or on specific segments of the population where they can achieve higher margins," Mr. Adams said. "is isn't enough." CVS, aer paying nearly $19 billion for Oak Street Health and Signify Health this year, is concentrating its value-based care model on Medicare-insured seniors. Walmart Health, which plans to have more than 75 healthcare centers in 2024, signed a 10-year deal with UnitedHealth Group to treat its Medicare Advantage patients. UnitedHealth subsidiary Optum and Walgreens are also going big on treating seniors — in the home. Coming effects on the industry Despite his 39-hospital system inking a deal to buy a 13-hospital group, Mr. Adams said Risant Health's goal is not consolidation but, rather, "supporting nonprofit community health systems." Its name, he said, comes from helping others "rise" while remaining "constant" in its mission and values. at would be done through data-driven population health, addressing social determinants, and aligning Image Credit: HIT Consultant