Listen: Creating Realtime Access To Health Information with Ryan Howells, Principal at Leavitt Partners
"I want to open up the MIC to this outstanding man and have them fill in any gaps of the Intro Ryan. Welcome to the PODCAST. Thanks so appreciate the opportunity. It's a pleasure to have you and I just WanNa Know Ryan. We heard a little bit of the amazing stuff that you guys are doing during health to dotto but why did you decide to get into healthcare to begin with well. When I was in Undergrad school I was trying to think of what I wanted to be when I grow up? And there's probably a little bit bat still left in me a curiosity love but as I was thinking through that I wanted to kind of center in the business world but then also focused on trying to make a difference in people's lives. I DIDN'T WANNA go pure business but I wanted to find a way to make an impact as well and helped your seem to be a natural option but at the time I thought that the only way that I could get into health care with actually running hospital so I went and got an Ma degree and said. That's where I WANNA be and re recognized that healthcare is far more complex complex and far more ifficult than anybody could imagine through all kinds of different avenues ended up kind of spending most of my career actually in health. It over the last twenty years and that has been a a nice growing field and continues to evolve over time. But it's been great. I love complexity of solving problems. uh-huh and both are significant opportunities here specifically in health care. I totally agree with you. If you don't like complexity or solving problems alums healthcare's now for you right. Yeah and so Ryan. What a cool story you got in from the provider side and administrator and now you kind of just gravitated toward it plenty of challenges in it? What what do you think Hot topic that should be on every medical leaders agenda today. Well so one of the things is that we're focused on here at eleven partners this idea about interoperability but not necessarily looking at from the traditional perspective of how shoe different covered entities exchange data with one another By EPA by we're actually focusing on how consumers can gain access to that data outside of EPA. It's through a project we like to call the Karen Alliance and it's It's an opportunity to actually share electric data exchange with consumers in a meaningful way. And we're we're pretty excited about it. That is pretty cool on listeners. You gotTA check out the Caroline's we're GONNA dive into this a little bit deeper but if you're if you WANNA ask your Google it's actually c a R. I Dan Karen Alliance and so definitely going to hear a little bit. More about that from Ryan Today Ryan. What do you think now is an exciting project that you're working? Yeah so so I guess just to continue solemn kind of overview of kind of where things where we think things are moving towards with the recent announcements for example with Amazon and some of the other her kind of employer plays that are out there in fact a couple years ago there was a group called the health transformation alliance out there too. We see kind of the market shifting towards kind of three primary repairs limit. Partners is a just a little bit of background for your listeners. Other partners as a group of consultants that were Organized by former Secretary Mike Levin left public office about nine years ago the secretary of Health and Human Services and so what he tells us is that there's this broad arc of forty year change in within healthcare. We're about twenty five years and it was forty year change process and I think what we see is from a especially from a payer perspective and a decision maker perspective kind kind of three main drivers of the healthcare economy over the next few years one is employers one is state governments and then the other would be the consumer themselves we see the consumer of the individual to be primary in their care over the ensuing years. And we think that. That's a really significant opportunities so from Hampshire. Answer your question or project perspective. That was one of the reasons why we started this carrying alliance. We felt as though there was an opportunity to take advantage of the greats. The ability for consumers Schumer's to get access to more of their data and by so doing they can make better decisions better choices on behalf of themselves and their family and as a result hopefully be able to achieve the triple aim and health care which will achieve Yeah Ryan. This is interesting. I love the framework and thank you for the synopsis there. On what Levitte does I tend to gravitate eight and I think a lot of people in general that our health care leaders gravitate toward vision. And you gotTa make your own vision but you also have to learn from others and so you you painted. Did this picture of a forty year change. That's happening. The three main changes being employers government and consumers. What is the end for? Only twenty five of years into it. What is your forty look like? Well I think you're forty. It's GonNa look a lot more in terms of of value based care continuum value based care model than it does us today with fee for service. I think we have noticed. We do a lot of work on the hill impact. I'm in DC here today. Very we find ways where in opportunities we talked to folks on both sides of the aisle both Democrats and Republicans and one thing that they definitely agree on healthcare costs too much so from their perspective. No matter who's in office or WHO's is running for Congress. We see an opportunity for these groups to come together to find ways in which they can reduce costs now how they reduce costs as a matter of consternation a little a little bit but they definitely see that healthcare cost too much and they're finding ways to be able to make sure that both from a cost in an access perspective they can make health care more affordable but also also more accessible to and that's also out of passion of ours and trying to find a way to make that happen very cool. That's very insightful. So when thinking about the Keren Erin Alliance should listeners. Think an associate that with one of the three pillars. I think so I think they associated with the pillar of consumerism. So let me give you I. I know a lot of your listeners are in the provider space. So just kinda tactically speaking how this would relate to their potentially their current life all they each are vendors mcchord swift so there was a law passed. I'm sure we'll start. You're aware of macro and specifically within macaroni. There's a the owner of myths associated with that and midst actually offered within minutes. There's a specific stipulation within the call the payment program that these providers about a half a million of them that are participating in this program need to actually exchange data via API with third party applications. And so all of the HR vendors got together a few years go and decided on an approach for how they're going to exchange data. It's called the ARGONAUT project. And they agreed on what the format would be and how they would exchange it and how the safety is would be configured into their systems and so as we speak CERNA was about six or eight weeks ago and they had their kind of certified technology out there. Eh was a little bit of last year all of them are being implemented as we speak and as a result a lot of these providers are having questions about well if I saw these. API's and give third party access to my data. What does that mean? Is that part of Hippo. Is it outside of hip do I need to actually validate. This is a good application. How do why ensure that the data is secure? How do I kate these users that are coming into my system? There's all kinds of questions policy questions. Business questions pathology questions and so what we did is mentioned about two years ago. We got a group together and said under the leadership of David Baylor and a blue mathon in east chope run Mike Levin who who are co founders and said. What's interesting about this new world that we live in? Is You've always thought about interoperability. As it relates to covered entities exchanging engine data with each other optional data exchange it's not necessarily mandated under any law. And that's the reason competitor's share data with each other but what's interesting is when the API's get installed this year there's an opportunity for a consumer to invoke their individual right of access under hippo which actually mandates that data exchange be sent from a covered entity to a non covered in. We don't like calling ourselves. Non covered entities but we are a consumer and as a consumer consumer were a non covered entity so our right to request that data is mandated under but the data exchange itself outside. So why does that matter. It matters because we don't have signed big be a agreements or Durso like agreements to share data with consumers. We just give them their data so we are working on the workflow technology. workflow the policy workflow some of the operational workflow associated with the exchange. And how we can. Potentially we expedite the ability for these systems to be interoperable using and leveraging the consumer at the center of that data exchange process and. That's the kind of the exciting work that we're we're focused on. Yeah that's super super exciting. And we were chatting with one of our previous guests Ryan. I think that to saying that the law was is actually going to mandate these API requirements this year but it was pushed the next year is that right. Yes so under MIPS every provider factually participating in the midst program. He stabbed have the API Musab by January. First two thousand nineteen. And you're right. The previous guests is correct. They'd delayed that for one year primarily because the each other vendors were ready yet so they got a little bit of a delay on that but hard pressed to believe that they're going to get another delay on it. I think everyone is getting to the point where they are ready. And they're moving toward that that in point in fact I think you're gonNA see this year. A significant push by a lot of different individuals both of the administration and other aspects of the hill and other ways saying you know interoperability specifically this consumer directed interoperability of giving patients access."