b'This work could help us pivot away from a health caremake a measurable impact. Risant Health recognized this system that many nationwide argue no longer servescollaboration and momentum within our community as a patients or providers. worthwhile investment. Health cares fee-for-service model is completelyWe are now part of oneRisant Health likes our unsustainable, Hochrein explains. Fee-for-service is a healthof the leading healthvalue-based care model, care payment model where medical providers are paid (orcare organizationsHochrein says. They see reimbursed by insurance) for each service they perform,in the country andour work through Triad regardless of the outcome. One of its big problems is thecollaborating to solveHealthCare Network, which cycle of returning patients, which Cone Health believes cansome of health caresserves 200,000 at-risk be broken by shifting to more preventive measures. lives. They see that we are biggest problems. putting resources into all The only way were going to make it through these nextOur teams are startingof our communities, that 30 years is if were taking care of the community in a veryto pick up the phonewe have mobile clinics, that different way, Hochrein says. And thats working to keepand call each other,were investing in community people well, prevent disease and lower the cost of careand its as simple as,health workers and putting because its completely unaffordable otherwise. our money where our mouth Hey, weve got thisis. Were in this for the What better way to deliver value than to help patients preventproblem that we knowhealth and wellbeing of the illness, shifting from a sick care model to well care? is a challenge all overcommunity, not for profit.Its also the right thing to do, he adds. The modernthe nation. How areWeve straddled that Hippocratic Oath says that one of our missions is preventionyou all working toline, Hochrein continues. because prevention is more valuable than treatment. Thatsolve it? Lets shareChanging from fee-for-means something. ideas. Theres power inservice to getting reimbursed bringing great mindsfor making people healthier is THE NUMBERS MAY SURPRISE YOU together. a new way forward. Now we are a part of an organization To understand what successful prevention entails, we must MARY JO CAGLE, MDthat will help accelerate this first understand what research shows. A staggering 80/20CEO work much more quickly rule tells us that clinical care accounts for just 20% of whatthan we ever could alone. As determines healththe other 80% involves factors suchpart of Risant Health, Cone Health is working with institutions as diet and exercise, physical environment, your ZIP code,like Kaiser Permanente and Geisinger that are nationally social and economic factors, and whether or not you have arecognized for their outcomes and innovation. Kaiser strong support system. Permanentes done value-based care better than anybody Cone Health providers recognize and embrace this data,else, and they want to spread that to other communities and driving the systemwide commitment to explore theform an entity that keeps that process in the hands of the prevention frontier. If we address the 80% and bring thatproviders, not venture capitalists. I am delighted to be one of percentage down, clinical care can be much more successful. the health systems that is part of Risant Health.Its painful because youre de-emphasizing the hospital careHochrein reminds us that we need to be patient.and the endless number of procedures we order and tryingHealth care is a massive ship with a tiny little rudder, he to direct focus on the wraparound services that could keepexplains. That iceberg is right before us, so were turning to community members out of the hospital, Hochrein says.avoid it. But were not going to see the effects immediately. When you do that, youre investing in something that willIts a marathon, but its the right way to steer medicine.pay off way down the road.Organizations clinging to fee-for-service will be scrambling, All the more reason Cone Health started this work manyHochrein adds. Were not. Cone Health is at the forefront.years ago and in many different ways. Prevention is a multipronged approach encompassing research andThe U.S. health system is exceptional in a crisis. We offer data, community outreach, specialized programming andadvanced therapies that you cant get anywhere else in the comprehensive services addressing the numerous variablesworld. Yet when it comes to outcomes, we fall far behind contributing to poor health.developing nations because we have yet to prevent diseases or foster a healthy lifestyle for all our community members.MOVING THE MISSION FORWARD We dont do anything healthy nations do, and weve done a The encouraging news is that partnerships with localhorrible job emphasizing prevention in health care, Hochrein organizations, faith communities and fellow communitysays. Thats led us to where we are. But we can do both. members move our mission forward much faster. JoiningWe can continue to be the best acute care physicians in the together enables us to offer programs and services thatworld and be innovators when it comes to prevention. the giving effect202411'