Value-based Healthcare Podcast

# 9 Ali Hashemi: A Value-based Hybrid Care Model for Diabetes


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In this podcast episode, I speak with Ali Hashemi, a true visionary and serial entrepreneur:

  • He talks about founding Metabolic, after selling his previous company. He then took time to reimagine healthcare, emphasizing the transformation of data from wearables into actionable health outcomes.
    • Metabolic offers a hybrid care model for diabetics, combining standard physical care based on guidelines with a tech-enabled approach. Initially, technology was deemed crucial, but it became clear that human interaction in healthcare is even more impactful.
      • A key aspect of Metabolic's service is the comprehensive care journey for diabetics, including blood tests and physical check-ups in a single visit, with immediate discussion of results. This approach allows for in-depth patient education and understanding of their health data, a process they term “transfer of agency.” This empowers patients to make informed health decisions.
        • Metabolic’s care model extends beyond standard practices, including a value-based reimbursement component and a risk-sharing approach, initially offering a "satisfied or money back" guarantee. This innovative model challenges traditional insurance structures, especially for chronic conditions like diabetes, which don't align well with conventional insurance that covers catastrophic, low-probability events.
        • We then speak about the inefficiency of forcing chronic care expenditure through health insurance, which often leads to non-value-adding expenses. This is particularly problematic in systems like Dubai's, where insurance is based on yearly renewable contracts.
          • The episode also explores diabetes care for younger populations and other chronic conditions like Graves' disease.
            • Ali then recommends the book “Outlive” by Peter Attia, which aligns with the theme of proactive and data-driven healthcare management.
            • ...more
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              Value-based Healthcare PodcastBy Valerie Kirchberger