Lessons from Value-Based Care Attempts

A healthcare CEO once told former CDC Director, Dr. Tom Frieden, he had "a fiduciary responsibility not to provide good diabetes care" because the ROI takes 7 years and patients leave after 4. That's not a villain talking. That's our system working exactly as designed, without preventive medicine.Dr. Tom Frieden ran the CDC under President Obama, served as New York City Health Commissioner, and now leads Resolve to Save Lives, a global nonprofit working in 50+ countries. His new book, The Formula for Better Health, lays out why the U.S. spends $4.5 trillion a year on healthcare, gets the most basic things right less than half the time, and what it takes to fix it.You'll discover:✅ Why preventing heart attacks actually costs providers money, and the one system (Kaiser Permanente) where that's flipped✅ How 100 million Americans lack primary care, and why tripling primary care spending could reduce total Medicare costs✅ The "See, Believe, Create" formula that has already saved millions of lives globally✅ Why Dr. Frieden says "it is now malpractice not to care for a patient with an AI as part of the team"✅ The 7-1-7 accountability system now used by 50 countries to find and stop disease outbreaks✅ How a $5 copay on preventive medication measurably increases heart attacks and strokes✅ The six specific health measures Dr. Frieden says matter most (with exact target numbers)✅ Why misinformation is the most lethal health threat: "a fire hose of falsehoods driven by the monetization of misinformation"⏱️ TIMESTAMPS0:00 A healthcare CEO's shocking confession about diabetes care0:45 Why the U.S. healthcare system is designed to fail2:10 Primary care: the most neglected piece of American healthcare4:28 Economic incentives that punish prevention6:43 Kaiser Permanente's capitation model and why it works9:44 CVS, concierge medicine, and halfway solutions13:20 Who can fix a system where no one is accountable?14:49 The "See, Believe, Create" formula explained19:08 Measles outbreaks and the misinformation crisis24:05 AI in healthcare: enormous potential, bad judgment34:18 What's happened to the CDC and vaccine infrastructure40:56 The 7-1-7 outbreak accountability system44:39 Why other countries get better results for less money47:39 The Big 6: personal health targets everyone should know53:11 Dr. Frieden's prescription for policymakers and healthcare leaders🔔 Subscribe and hit the bell so you don't miss conversations with world-class leaders.📩 Join our newsletter: https://newsletter.cxotalk.com💬 Read show notes: https://www.cxotalk.com/episode/former-cdc-director-how-to-fix-healthcare🎙️ ABOUT CXOTALKCXOTalk features unfiltered conversations with C-suite executives from major companies about AI, digital transformation, and business strategy. Hosted by Michael Krigsman.Episode 911 | Recorded March 8, 2026#CXOTalk #Healthcare #DrTomFrieden #PublicHealth #HealthcareReform #PrimaryCare #AIinHealthcare #CDC #PreventiveMedicine #ResolveToSaveLives