Episode 56 - How Data-Driven Doctor Selection Can Boost Health Outcomes, Control Rising Healthcare Costs, and Advance Workforce Health Literacy - with Kirk Czonstka

Employer healthcare cost inflation in the US is accelerating - yet Americans live nearly five years less than people in other developed nations. Many families now face out-of-pocket expenses that exceed their available cash, even with employer-sponsored coverage.

Garner Health analyzes roughly 75% of all claims nationwide, allowing it to evaluate virtually every doctor in the country. Their data shows that low-performing physicians can have four times the complication rates and are five times more likely to deliver unnecessary care.

Seth Serxner recently spoke with Kirk Czonstka, SVP of Strategic Alliances at Garner Health, about how the company uses claims and analytics to identify top doctors and help people get better care while spending less.

Seth and Kirk also discuss:

☑️ The Rising Cost and Declining Quality of U.S. Healthcare: Despite increased spending, life expectancy lags, and cost inflation for employers is unsustainable.

☑️ Complexity Doesn’t Equal Engagement: Adding more vendors and solutions hasn’t translated into meaningful employee action, with less than 5% using traditional tools.

☑️ The Doctor Makes the Difference: Analysis shows that individual physician performance, not just the right network or hospital, has the greatest impact on cost and outcomes. Guiding patients to high-performing providers achieves an average of 27% savings per episode of care, without compromising quality.

☑️ High Variation in Care Quality: Data reveals alarming differences even within the same facility; low-performing doctors can drive up to four times the complications, and five times more unnecessary care.

☑️ Overcoming Provider Pushback: While no doctor likes tough feedback, transparent, evidence-based performance metrics help both employers and providers identify improvement opportunities.

☑️ Driving Change in Provider Behavior: Health systems and large physician groups are leveraging Garner’s analytics to inform referrals and internal practice transformation for better performance.

☑️ Making Quality Data Consumer-Friendly: Recognizing the average employee isn’t a data analyst, Garner simplifies choices and incentivizes use by reimbursing out-of-pocket costs when recommended providers are chosen.

☑️ The Role of Health Literacy: With barely 1 in 10 Americans considered health literate, empowering people to understand and act on trusted data is as critical as the data itself, and financial incentives can be an effective catalyst.

☑️ Addressing Disparities in Care: While still aspirational, Kirk’s team is working to leverage demographic information to further personalize recommendations and address differential care by ethnicity and gender.

☑️ And much more.

If you care about cutting healthcare costs and making smarter choices, you won’t want to miss this episode.

About The Health Literacy 2.0 Podcast

Improving health literacy - the ability to understand and act on health information - is key to improving health outcomes and lowering costs.

Together with business and community leaders, we'll explore effective, behavior-changing solutions that can improve health literacy and drive engagement in corporate and public health and wellness programs.

Visit the podcast page here: www.edlogics.com/podcast.

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Want to see how EdLogics' gamified platform can boost health literacy, drive engagement in health and wellness programs, and help people live happier, healthier lives?

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