Out-Of-Pocket

Lots of companies are always excited to get into value-based care contracts, but most haven't actually figured out what's important when they get one There are a few different levers you can pull - non-exhaustive but a few big ones - Rates: Not only how much you get paid, but which milestones and whether there are clawbacks -Timelines: Do you tilt more upfront payments or backend? Everyone thinks backend is better, but you need money to actually staff operate and succeed. Even your payer partner wants that. -Attribution: How patients are chosen, what you need to do to get them on your roster, etc. is VERY IMPORTANT!!! -Disputes: Mom and Dad are inevitably going to argue, but it's always awkward when it happens publicly. Figuring out how you resolve conflicts is much easier upfront, way harder when you're actually in a conflict. -Exclusions: Do you want to exclude certain patient types, services delivered, etc.? If you're new to this, you don't want to be on the financial hook for everything We go through all this in our upcoming "How To Contract with Payors" course starting 3/31, sign up here: https://lnkd.in/esUXAg7k

Since everyone is always curious how Out-Of-Pocket makes money... Here is our sponsorship guide, which is one of the ways we make money. I'm always dunking on healthcare companies for making pricing opaque, why should I do the same? Our ethos on sponsorship is simple: - We work with a small number of companies and we natively integrate them into what we do. You're part of our events, you're presenting, you're writing, etc. - We are not just marketing for you, we're your creative partner to brainstorm fun ways to advertise - We love bundling things together. You can get different messages across in the newsletter vs. IRL experiences. We can figure out ways to do both and create things that appeal to different segments If you want to be a booth in the corner of a conference or think about everything in funnel optimizations, this isn't for you. But if you're interested in actually creating something creative that people will want to learn more about... fill out the form here and we'll chat: https://lnkd.in/eZwYHjur Group chats, feel free to start discussing whether we're overcharging or undercharging

It's officially been 5 years since Out-Of-Pocket started One piece of advice I got when I started was just to focus on one thing and do it well. I don't think that advice was right for me and this kind of business. Every part of this Out-Of-Pocket feeds into other parts - The OOP slack group gives me ideas for the newsletter - events we do create content for the newsletter - the newsletter lets me demonstrate expertise to sell courses - the courses get people interested in being part of other OOP things etc. Building all this stuff in parallel actually made each part better. If I had listened to that advice, I would have only done the newsletter and would have gotten destroyed in the newsletter apocalypse that's happening now. Moral of the story is not to take people's advice too seriously, especially if your business is way different than theirs or your personal strengths/capacity (another way to say "I'm built different") now the question is - what advice am I getting now that's also likely not right for this business?

we're hosting a healthcare dinner in SF on 03/06 for ~20 ops leaders. If you are: 1. At an org with 200+ people 2. VP and above, in ops or ops-adjacent 3. Work at a provider org (ie you deliver care, not a software co) 4. Want to duel, intellectually ping Danielle Poreh at danielle @ outofpocket.health if someone you know would be a good fit, tag them below. I want the algorithm to love me.

A new post - we look at 3 big priorities that hospitals care about and how it plays out in a real-world example at a hospital in Oregon when those priorities shift Plus we show you a few tools that you can use as a consumer to see what hospitals are good at + a few tricks you can use to figure out what a hospitals priorities are in a given year based on community needs surveys/Schedule H's If you want to understand US healthcare, you need to understand what makes hospitals tick full post is here: https://lnkd.in/eXzAr-pU

The last live Out-Of-Pocket Product 201 class is this February and only has 5 spots left! The last chance to do a live course for Product 201 is this February 17th. We'll be going through: - how to build healthcare products that succeed with user adoption that impacts business outcome metrics - how to have excellent GTM that supports strong product distribution - ways to align complex cross functional stakeholders - how to create impactful and inspiring product roadmaps Register here: https://lnkd.in/dUgWe9S2

SO excited to announce....we're doing the Out-Of-Pocket Healthcare AI hackathon again!!! In SF from 5/16 - 5/18 If you want to hack on a healthcare idea, this is your sign to do it. Doesn’t matter if you have healthcare experience, engineering experience, etc. We’re bringing mentors, matching people, the works. And it’s FREE for hackers. We did this last year and it was awesome. 60 people hacking and they built some insane projects. Everything from robocalling pharmacies for inventory to creating simulated hospitals for triaging. If you’re interested in being a hacker, just fill out a short application on the site. You can apply as a team or as an individual and we’ll match you. The application is due 2/20, but do it now otherwise you’ll forget: https://lnkd.in/e6tGe_Cx

We're working with a handful more companies for the OOP headhunting product - you tell us the role you're trying to hire for - we look through the OOP universe (newsletter subscribers, network, etc.) to see if there's a good fit - we reach out and see if they're interested - you pay us only if you end up hiring them this has been working out pretty well! let's chat if you're interested: https://lnkd.in/eKR4-iun

I think we can agree that this new years, we all have the same resolution Learning if there's any meaningful difference between a clinically integrated network and an integrated delivery network But wait, where could we find that out? If only there were a course that started by teaching you what a provider is first, how they made money, and then had case studies on the different provider types Oh boy do I have a late christmas gift for you. The next round of the healthcare 101 course starts on 1/28. 6 classes, all virtual - come through: https://lnkd.in/eAtxhJwD

Happy new years! Some more predictions that Out-Of-Pocket readers sent in > The GLP-1 Rebrand To Addiction (excerpt below) > The end of ACA subsidies > The FDA approves more drugs than ever > AI Scribe Commoditization > Amazon will materially restructure its healthcare offerings full post is here: https://lnkd.in/eDgM4BXW