Raising Health Scaling Medicaid Innovation with Afia Asamoah, Rajaie Batniji, and Sanjay Basu
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Jan 14, 2025 Rajaie Batniji and Sanjay Basu, co-founders of Waymark, blend medical expertise with innovation in Medicaid care. They discuss their pioneering use of machine learning to predict patient needs, which leads to a significant reduction in emergency visits. The duo highlights how community engagement and trust are vital in healthcare, emphasizing the success of community health workers. Listeners will learn about the balance of profit and purpose in healthcare, along with the importance of early interventions for improving health outcomes.
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Acute Care Reduction
- Waymark's focus on reducing unnecessary acute care drives cost reduction.
- Increased spending in areas like pharmacy and primary care resulted in better overall value.
Rising Risk Patients
- Waymark's model identifies "rising risk" patients before they become high-cost claimants.
- This proactive approach addresses needs early, preventing escalation of healthcare costs.
Community-Based Care
- Community-based care models are key to effective intervention in Medicaid.
- Waymark's approach validates this and utilizes risk-based contracting.
