[00:00:00] Welcome to the Memorial Health Care Delivery Podcast.

[00:00:08] Through conversations with industry leaders and innovators, we uncover ways to simplify

[00:00:13] how patients and care teams navigate complex care delivery.

[00:00:17] Hi everyone, this is Dr. Jamie Goldberg, Senior Vice President of Care Delivery for Memorial

[00:00:26] Health and host of the Care Delivery Podcast. low-income families. I am a parent of five children, including two sets of twins, and my impetus for founding comes from my own frustration as a mother in our American society that doesn't support caregiving, especially women very well, and my career and life passion

[00:01:40] around health equity, where I think if we need and want to change health equity, we without you ever having to make an appointment or go to a specialist or go outside of our nest. But the idea is to take care of people who have social drivers of health, who have access issues to primary care. For example, no primary care in one year or more is one of our criteria. And then we wrap them in the nest and we just make it super easy

[00:03:02] to get care and radically accessible.

[00:03:06] So tell me, what does that population and we then are responsible for outreaching to those families. We're proud to have launched our first value-based care contract with AmeriHealth Care, which is a fantastic company. We're in network with all of the Medicaid managed care companies in Louisiana, but waiting to work with them in this other context, which is value-based care. So versus fee-for-service, where you get paid just to do things discreetly.

[00:05:43] And value-based care, we get paid a And that is a combination of things like emergency reviews, chronic conditions, substance use disorder, and so on. And that same, the same type of criteria help us identify who are the highest risk individuals in our model.

[00:07:04] And what we're finding is that individuals and families trend together towards risk. special and in need of services that meet their needs. Got it. And in caring for those complex population, how do you define success? What are some of the metrics and criteria you look to as you show to your health plan partners that you are really moving the needle and helping them provide better care

[00:08:21] and more value to their members?

[00:08:23] Sure. So we believe that primary care matters

[00:08:27] and that people because of it. is it nurse practitioners, is it physician assistants? How have you designed a care model that's able to best meet the needs of this complex population? Yeah, our frontline workforce are physician assistants and nurse practitioners, and they work in an interdisciplinary care team that includes medical assistants and our physician staff

[00:11:02] and leaderships that work as a team.

[00:11:04] And the folks who don't have home visiting services postpartum. We do a really crummy job moving from pregnancy to parenting and helping women transition to home,

[00:12:20] as many countries are doing much more.

[00:12:22] So we think there's a need everywhere,

[00:12:24] and we want to be in every, right? The doctor with a bag coming to your home with whom you have a relationship that is long standing is an old model, but that's the Nest model. And that's something we think is coming back. COVID architect care clinics I worked at where the whole experience was really designed around optimizing for the their mothers. Well said. I think that's a great statement to close on. So just wanna thank you for your time with us today, Rebecca, and all of us are excited to watch as NEST continues to scale and to offer whole family care,

[00:16:21] not just throughout Louisiana,

[00:16:22] but as you expand nationwide.

[00:16:25] Until next time, everyone.