Fritz Busch's guest appearances

Fritz Busch

Classical Podcasts » Podcast Feed

Was heute geschah

DocPreneur Leadership Podcast

Descant

Classical Podcasts

Cheryl Janis

Jonathan Green

Keith Smith

John Goodman

Laura Gallaher

Charles Adams

Ryan Gregg

Richard Young

Robert Kellar

Scott Reiner

Rebecca Johnson

Susan Wilder

Evan Allen

Stephen Schimpff

Kyra Bobinet

OwlTail

Fritz Busch describes being smitten with DPC the first time he heard a DPC physician talking about the model. He found the model very appealing because it seemed like it would work, it would provide better care.  Fritz had always been bothered that so many physicians are burned out.  He was very pleased to learn how much physicians loved practicing in a DPC model, as there was finally something that’s going directly at our physician burnout problem.  Fritz wanted to study DPC, to see if he could prove that results are better in DPC.  He ultimately was involved in the Society of Actuaries’ study of Direct Primary Care (available here: https://www.soa.org/resources/research-reports/2020/direct-primary-care-eval-model/) and other DPC papers and consulting projects. Next we discussed the changes he’s seen in the last several years, in terms of the DPC model and the consulting work associated with it.  We discussed that self-insured employers have the flexibility to adopt DPC and that much of the growth of DPC is taking place in this market.  Fritz also noted that lines are blurring between corporate DPC and onsite clinics.While DPC isn’t particularly actuarial (primary care is not insurable in a technical sense as costs are almost entirely knowable), DPC clinics seek consulting for a variety of reasons.  Some are looking to add services that, similar to primary care, have high frequency, knowable costs (such as physical therapy).  Others are looking at increasing the value they provide to their patients in terms of revenue per square foot of clinic space.  Modeling risk and risk sharing are other areas where DPCs may seek consulting services.  Fritz described a current project that involves both qualitative and quantitative analysis of the value of DPC.  The inclusion of qualitative methods recognizes that the better experience for employees is not fully captured in a financial analysis involving DPC fees, savings due to lower spending on primary and downstream care, and savings in patient cost sharing.Finally we got into the biggest problem in the healthcare system.  Fritz gave a detailed and insightful answer involving distortions caused by 3rd party payment and too much money being thrown into the healthcare system by Medicare and Medicaid paying automatically (without competition). Given how our system is set up, we really can’t expect anything other than the very expensive system that we have.  Thanks for a great conversation, Fritz!

Fritz Busch describes being smitten with DPC the first time he heard a DPC physician talking about the model. He found the model very appealing because it seemed like it would work, it would provide better care.  Fritz had always been bothered that so many physicians are burned out.  He was very pleased to learn how much physicians loved practicing in a DPC model, as there was finally something that’s going directly at our physician burnout problem.  Fritz wanted to study DPC, to see if he could prove that results are better in DPC.  He ultimately was involved in the Society of Actuaries’ study of Direct Primary Care (available here: <a href="https://www.soa.org/resources/research-reports/2020/direct-primary-care-eval-model/" rel="nofollow" target="_blank">https://www.soa.org/resources/research-reports/2020/direct-primary-care-eval-model/</a>) and other DPC papers and consulting projects. Next we discussed the changes he’s seen in the last several years, in terms of the DPC model and the consulting work associated with it.  We discussed that self-insured employers have the flexibility to adopt DPC and that much of the growth of DPC is taking place in this market.  Fritz also noted that lines are blurring between corporate DPC and onsite clinics.While DPC isn’t particularly actuarial (primary care is not insurable in a technical sense as costs are almost entirely knowable), DPC clinics seek consulting for a variety of reasons.  Some are looking to add services that, similar to primary care, have high frequency, knowable costs (such as physical therapy).  Others are looking at increasing the value they provide to their patients in terms of revenue per square foot of clinic space.  Modeling risk and risk sharing are other areas where DPCs may seek consulting services.  Fritz described a current project that involves both qualitative and quantitative analysis of the value of DPC.  The inclusion of qualitative methods recognizes that the better experience for employees is not fully captured in a financial analysis involving DPC fees, savings due to lower spending on primary and downstream care, and savings in patient cost sharing.Finally we got into the biggest problem in the healthcare system.  Fritz gave a detailed and insightful answer involving distortions caused by 3rd party payment and too much money being thrown into the healthcare system by Medicare and Medicaid paying automatically (without competition). Given how our system is set up, we really can’t expect anything other than the very expensive system that we have.  Thanks for a great conversation, Fritz!

Fritz Busch, actuary and consultant, on Direct Primary Care and the healthcare system

The Society of Actuaries (SOA) commissioned Milliman to develop this report to provide health care stakeholders (patients, payers, policymakers and actuaries) with a comprehensive description of Direct Primary Care (DPC) as well as an objective actuarial evaluation of certain claims made about the DPC model of care. Today we sit down with one of the authors of the study, Fritz Busch, a consulting actuary at Milliman. Fritz’s experience includes 27 years as an actuary and business leader in the insurance industry. Prior to starting at Milliman, he was with one of the larger Blue plans and had several consulting roles with McKinsey &amp; Co. His commercial carrier experience includes a wide range of actuarial plan management functions that include reserving and annual statement work, trend analysis, commercial large group pricing, ACA individual and small group pricing, Medicare Supplement pricing, benefit plan design and product development. At Milliman, he has successfully worked with a variety of clients including regulators, insurance company executives, and others. He is a frequent speaker at industry and public policy meetings. Primary care is a vital and even foundational component of any health care system. Primary care physicians (PCPs) are the front line of health care and are often the entry point for patients needing care. How often a patient accesses primary care, and the quality of that care, can have significant impacts on downstream costs and patient health outcomes. However, while PCPs are almost universally acknowledged as essential to achieving the health care Triple Aim of providing high-quality care, at lower cost, with improved patient experience, many health care experts describe the current state of primary care as being in crisis. This crisis is characterized by physician burnout, large PCP patient panels, low pay for PCPs relative to other physician specialties, increased administrative burden, longer work hours without increased reimbursement, an increased risk of mental health conditions and suicide, and ultimately a PCP shortage relative to market demand. RESOURCES MENTIONED www.milliman.com  https://www.soa.org/resources/research-reports/2020/direct-primary-care-eval-model/ https://www.dpcare.org/ This Podcast Is Recorded By The DocPreneur Leadership Podcast/Produced/Hosted by Concierge Medicine Today, LLC. Intended Audience and/or Use: The content, products and/or services offered or discussed herein are here to educate physicians, healthcare business leaders and/or healthcare professionals and is not intended for the general public (Please see full Disclaimer below). In no event is this information considered medical, legal, financial, accounting or other professional advice (Please see full disclaimer below). Concierge Medicine Today, LLC., our sister publication(s) and/or Podcast(s) use our best efforts to gather the information that is available and use it effectively to help educate Physicians about new and exciting innovations in healthcare. Concierge Medicine Today, LLC., our representatives, agents or employees accept no responsibility or liability for the claims made by the Physician(s) interviewed or our guests. Once again, If you have any questions about these topics, evidence cited, physicians, their services, etc., please contact the doctor or doctor’s office directly. The views expressed herein are those of the Physician; they do not necessarily reflect the views of our organization or Representatives. Please note, if you have any questions about our interviewed guests, physicians, business leaders, etc., their services, insights, etc., please contact them or that doctor or doctor’s office directly. The editors, publishers, distributors, hosts, Concierge Medicine Today, LLC., its related, affiliated or subsidiary companies or employees/representatives, stress that since the details of an individual’s personal health situation are fact-dependent, you should seek the help of a competent professional, attorney, licensed physician in good standing and/or financial/tax professional. None of our representatives or affiliated companies of Concierge Medicine Today, LLC., shall be liable for any direct, indirect, special, incidental or consequential damages or financial costs arising out of the use of any of the physicians thoughts or advice on this article, journal or podcast(s) (See Full Disclaimer Below). Full Disclaimer: This interview, the hosts, guests, producers, it's agents/authorized representatives and/or affiliated companies, are not providing medical, financial and/or legal advice. Any portion of this broadcast is not to be reproduced, copied or transmitted in any form and is owned, managed and produced by Concierge Medicine Today, LLC. Concierge Medicine Today, LLC., it's authors, hosts, agents, and/or authorized representatives or affiliated companies are not responsible or liable for the content or opinions of any particular guest and/or Physicians insight(s) given on this broadcast/program/site(s). Any products, actions or services mentioned are at your own risk and you agree, consent and understand the risks associated with using those products/services and indemnify and hold harmless Concierge Medicine Today, LLC., its publishers, authors, editors, guest posts, interviewed guests, physicians interviewed, hosts, guests, sponsors, affiliated representatives, affiliated companies of Concierge Medicine Today, LLC., etc., directly and/or indirectly, against any damages, losses, liabilities, judgments, costs or expenses (including reasonable attorneys’ fees and costs) arising out of a claim by a third party relating to materials you have heard about, used, purchased, read, posted and/or other actions taken by you on any Concierge Medicine Today, LLC., Site(s) and this podcast. Furthermore, you accept, consent and you agree to indemnify, defend, and hold us and any of our partners, agents, officers, directors, employees, subcontractors, successors, assigns, third-party suppliers of information and documents, attorneys, advertisers, product and service providers, and affiliates free from any liability, loss, claim, and expense, including reasonable attorney’s fees, related to your violation of this Agreement or use of our Website, Products, Events and/ or Services forever. Additionally, your use of our site(s)/podcast(s) constitutes your agreement to the Terms and Conditions and Privacy Policy (https://conciergemedicinetoday.org/tcpp/). This site, it's brands, its agents, it's authorized representatives, affiliated companies, it's products, services and/or imprints are owned by Concierge Medicine Today, LLC., and not the product of any one individual and once again, do not constitute medical, financial, tax and/or legal or other professional advice. Please note, any interview/story/guest is not an endorsement and/or recommendation of any one Physician, service, individual and/or company or product. The content, products and/or services offered or discussed herein are here to educate physicians and healthcare professionals and not intended for the general public. Nothing in the content, products or services, podcast and/or interview(s) should be considered, or used as a substitute for, medical advice, diagnosis or treatment. This site and its services do not constitute the practice of any medical, nursing or other professional health care advice, diagnosis or treatment. You should always talk to your health care provider for diagnosis and treatment, including your specific medical needs. None of the physicians, products or services offered, mentioned, interviewed and/or listed through this website(s) and/or other Concierge Medicine Today, LLC., books, podcasts, articles, courses, webinars, and the like, represents or warrants that any particular physician, company, medical practice, service and/or product is safe, appropriate or effective for you. We advise users to always seek the advice of a physician and/or other qualified health care provider with any questions regarding personal health or medical conditions. If you have or suspect that you have a medical problem or condition, please contact a qualified health care professional immediately. If you are in the United States and are experiencing a medical emergency, please call 911 or call for emergency medical help on the nearest telephone. OTHER PHYSICIAN BUSINESS AND INDUSTRY RESOURCES MENTIONED www.ConciergeMedicineForum.com www.ConciergeMedicineToday.org www.ForDoctorsForum.org www.conciergemedicinetoday.net

The Society of Actuaries (SOA) commissioned Milliman to develop this report to provide health care stakeholders (patients, payers, policymakers and actuaries) with a comprehensive description of Direct Primary Care (DPC) as well as an objective actuarial evaluation of certain claims made about the DPC model of care. Today we sit down with one of the authors of the study, Fritz Busch, a consulting actuary at Milliman. Fritz’s experience includes 27 years as an actuary and business leader in the insurance industry. Prior to starting at Milliman, he was with one of the larger Blue plans and had several consulting roles with McKinsey &amp; Co. His commercial carrier experience includes a wide range of actuarial plan management functions that include reserving and annual statement work, trend analysis, commercial large group pricing, ACA individual and small group pricing, Medicare Supplement pricing, benefit plan design and product development. At Milliman, he has successfully worked with a variety of clients including regulators, insurance company executives, and others. He is a frequent speaker at industry and public policy meetings. Primary care is a vital and even foundational component of any health care system. Primary care physicians (PCPs) are the front line of health care and are often the entry point for patients needing care. How often a patient accesses primary care, and the quality of that care, can have significant impacts on downstream costs and patient health outcomes. However, while PCPs are almost universally acknowledged as essential to achieving the health care Triple Aim of providing high-quality care, at lower cost, with improved patient experience, many health care experts describe the current state of primary care as being in crisis. This crisis is characterized by physician burnout, large PCP patient panels, low pay for PCPs relative to other physician specialties, increased administrative burden, longer work hours without increased reimbursement, an increased risk of mental health conditions and suicide, and ultimately a PCP shortage relative to market demand. RESOURCES MENTIONED <a href="http://www.milliman.com" rel="nofollow" target="_blank">www.milliman.com</a> <a href="https://www.soa.org/resources/research-reports/2020/direct-primary-care-eval-model/" rel="nofollow" target="_blank"> https://www.soa.org/resources/research-reports/2020/direct-primary-care-eval-model/</a> <a href="https://www.dpcare.org/" rel="nofollow" target="_blank">https://www.dpcare.org/</a> This Podcast Is Recorded By The DocPreneur Leadership Podcast/Produced/Hosted by Concierge Medicine Today, LLC. Intended Audience and/or Use: The content, products and/or services offered or discussed herein are here to educate physicians, healthcare business leaders and/or healthcare professionals and is not intended for the general public (Please see full Disclaimer below). In no event is this information considered medical, legal, financial, accounting or other professional advice (Please see full disclaimer below). Concierge Medicine Today, LLC., our sister publication(s) and/or Podcast(s) use our best efforts to gather the information that is available and use it effectively to help educate Physicians about new and exciting innovations in healthcare. Concierge Medicine Today, LLC., our representatives, agents or employees accept no responsibility or liability for the claims made by the Physician(s) interviewed or our guests. Once again, If you have any questions about these topics, evidence cited, physicians, their services, etc., please contact the doctor or doctor’s office directly. The views expressed herein are those of the Physician; they do not necessarily reflect the views of our organization or Representatives. Please note, if you have any questions about our interviewed guests, physicians, business leaders, etc., their services, insights, etc., please contact them or that doctor or doctor’s office directly. The editors, publishers, distributors, hosts, Concierge Medicine Today, LLC., its related, affiliated or subsidiary companies or employees/representatives, stress that since the details of an individual’s personal health situation are fact-dependent, you should seek the help of a competent professional, attorney, licensed physician in good standing and/or financial/tax professional. None of our representatives or affiliated companies of Concierge Medicine Today, LLC., shall be liable for any direct, indirect, special, incidental or consequential damages or financial costs arising out of the use of any of the physicians thoughts or advice on this article, journal or podcast(s) (See Full Disclaimer Below). Full Disclaimer: This interview, the hosts, guests, producers, it's agents/authorized representatives and/or affiliated companies, are not providing medical, financial and/or legal advice. Any portion of this broadcast is not to be reproduced, copied or transmitted in any form and is owned, managed and produced by Concierge Medicine Today, LLC. Concierge Medicine Today, LLC., it's authors, hosts, agents, and/or authorized representatives or affiliated companies are not responsible or liable for the content or opinions of any particular guest and/or Physicians insight(s) given on this broadcast/program/site(s). Any products, actions or services mentioned are at your own risk and you agree, consent and understand the risks associated with using those products/services and indemnify and hold harmless Concierge Medicine Today, LLC., its publishers, authors, editors, guest posts, interviewed guests, physicians interviewed, hosts, guests, sponsors, affiliated representatives, affiliated companies of Concierge Medicine Today, LLC., etc., directly and/or indirectly, against any damages, losses, liabilities, judgments, costs or expenses (including reasonable attorneys’ fees and costs) arising out of a claim by a third party relating to materials you have heard about, used, purchased, read, posted and/or other actions taken by you on any Concierge Medicine Today, LLC., Site(s) and this podcast. Furthermore, you accept, consent and you agree to indemnify, defend, and hold us and any of our partners, agents, officers, directors, employees, subcontractors, successors, assigns, third-party suppliers of information and documents, attorneys, advertisers, product and service providers, and affiliates free from any liability, loss, claim, and expense, including reasonable attorney’s fees, related to your violation of this Agreement or use of our Website, Products, Events and/ or Services forever. Additionally, your use of our site(s)/podcast(s) constitutes your agreement to the <a href="https://conciergemedicinetoday.org/tcpp/" rel="nofollow" target="_blank">Terms and Conditions and Privacy Policy</a> (<a href="https://conciergemedicinetoday.org/tcpp/" rel="nofollow" target="_blank">https://conciergemedicinetoday.org/tcpp/</a>). This site, it's brands, its agents, it's authorized representatives, affiliated companies, it's products, services and/or imprints are owned by Concierge Medicine Today, LLC., and not the product of any one individual and once again, do not constitute medical, financial, tax and/or legal or other professional advice. Please note, any interview/story/guest is not an endorsement and/or recommendation of any one Physician, service, individual and/or company or product. The content, products and/or services offered or discussed herein are here to educate physicians and healthcare professionals and not intended for the general public. Nothing in the content, products or services, podcast and/or interview(s) should be considered, or used as a substitute for, medical advice, diagnosis or treatment. This site and its services do not constitute the practice of any medical, nursing or other professional health care advice, diagnosis or treatment. You should always talk to your health care provider for diagnosis and treatment, including your specific medical needs. None of the physicians, products or services offered, mentioned, interviewed and/or listed through this website(s) and/or other Concierge Medicine Today, LLC., books, podcasts, articles, courses, webinars, and the like, represents or warrants that any particular physician, company, medical practice, service and/or product is safe, appropriate or effective for you. We advise users to always seek the advice of a physician and/or other qualified health care provider with any questions regarding personal health or medical conditions. If you have or suspect that you have a medical problem or condition, please contact a qualified health care professional immediately. If you are in the United States and are experiencing a medical emergency, please call 911 or call for emergency medical help on the nearest telephone. OTHER PHYSICIAN BUSINESS AND INDUSTRY RESOURCES MENTIONED <a href="http://www.ConciergeMedicineForum.com" rel="nofollow" target="_blank">www.ConciergeMedicineForum.com</a> <a href="http://www.ConciergeMedicineToday.org" rel="nofollow" target="_blank">www.ConciergeMedicineToday.org</a> <a href="http://www.ForDoctorsForum.org" rel="nofollow" target="_blank">www.ForDoctorsForum.org</a> <a href="http://www.conciergemedicinetoday.net" rel="nofollow" target="_blank">www.conciergemedicinetoday.net</a>

EP 332 | Consulting Actuary at Milliman, Fritz Busch, Author of Society of Actuaries, 2020 DPC Study