Transcription:

Ken Paulus 0:03
Caregivers will be put back in a position to drive these big complicated specialty treatments instead of throwing these patients over the wall to us. And I think pharma will move from a sales model to a knowledge model where their job is to put information in the hands of caregivers, health plans, and members to make the right decisions at the right time in the right place

Gary Bisbee 0:28
That was Ken Paulus, President and CEO Prime Therapeutics, discussing the fragmented nature of today's healthcare system. I'm Gary Bisbee and this is fireside chat. Ken has been a health plan and large IDN CEO and now leads a pharmacy benefit manager with 30 million lives. He's in a unique position to comment on integration between pharma health plans and providers. Let's listen to Ken express the need for an air traffic controller to manage care for the patient

Ken Paulus 0:57
I'm most concerned about fact that today, for any given American, there's really no captain of the ship. There's really no clear advocate or some person, entity-relationship that is air traffic control for a patient in need.

Gary Bisbee 1:17
Our conversation includes Ken describing the role of the PBM. And its value equation, barriers to quality and outcomes confronting caregivers, the need for physicians to be in charge complicated care paradigms, how Prime Therapeutics work with the federal government to ensure specialized drugs remain available during the COVID crisis, and the importance of developing a long term relationship with the patient. Let's listen

Ken Paulus 1:42
COVID has shown us that we need somebody to focus on that long term relationship and it's just not happening today. Again, with great challenges come great opportunities now that's a big one. And if I was running a health plan business or an IDN right now I’d be running like heck, to solve that problem and fill that void. Our nation needs it now.

Gary Bisbee 2:05
I'm delighted to welcome Ken Paulus to the microphone. Well, good afternoon, Ken, and welcome.

Ken Paulus 2:16
Gary, Thanks for the invite. And I really look forward to talking to you today.

Gary Bisbee 2:20

Welcome to the Health System CXO Podcast, sponsored by The Health Management Academy, featuring content designed for Health System Nurse Executives, Health Equity Officers and Strategy Executives provided by our company SME's - Anne Herleth, Jasmaine McClain, Ph.D. and Jackie Kimmell.

Subscribe today and receive the latest insights from the country's leading Health System CXO experts regularly, helping you remain current and guide your health system strategy with thought leadership and success.

The Health System CXO Podcast activates health system leaders towards outcomes and scalable solutions you can implement now.

About The Health Management Academy:
Since 1998, The Health Management Academy has cultivated the premier community of healthcare's most influential changemakers from the top U.S. health systems and innovative industry partners. We power more than 2,000 health system senior executives and 200 industry organizations through exceptional peer groups, original market insights, world-class leadership development programs and novel member alliances. Our industry-leading programs and solutions enable members to facilitate meaningful relationships, navigate strategic transformation and address critical industry issues. To learn more, visit hmacademy.com and follow The Health Management Academy on ...