Dr. David Kay explains why reimbursement is critical for medical innovation. Bundled payments fix surgery costs upfront, eroding profits for surgeons and facilities. Optum now employs 90,000 of 1.3 million U.S. physicians, shifting power toward payers in reimbursement negotiations.
Chapters
Yeah, so, uh, you know, I've been in a couple of startups and, you know, one of them in particular, reimbursement, you know, for the product and I guess for the physician was, was one of the biggest bugbears that kind of, you know, doomed me. Did you encounter anything in that regard about your product, you know, that product getting paid for?
Remember, we were paid and joints and more and more and more surgeries through bundles. And it just eats away at the bundle and, you know, you eat away at it enough and guess what? There's no money left and you're not going to go there. So yeah, you've got to look at the reimbursement side on anything that you do. And it's not just for a surgeon, it's also for the facility. And just remember, there's a headline yesterday, 90,000 physicians are employed by Optum. There's like 1.3 million physicians in the country.