Rasu Shrestha is physician and business executive who spends his time thinking about how to keep people out of his hospitals. Well, sort of. Rasu is the Chief Innovation Officer at University of Pittsburgh Medical Center (UPMC) and Executive Vice President at UPMC Enterprises, where he leads a large team of people working to align all sides of the payer-provider-patient relationship work together. The goal?  [To] make sure that thriving becomes a thing so that if we don’t do a procedure, if we don’t have a patient in our hospital beds, economically it still makes sense for the system as a whole. Rasu and the UPMC team work from the assumption that patient-centric care and building an economically viable business don’t have to be mutually exclusive. So, they give people access to tools that will help them become (or stay) healthy and stay out of UPMC’s hospital beds. At the same time, UPMC isn’t just a hospital system, but also a payer. With this integrated system, along with the portfolio of companies within UPMC Enterprises, the organization is finding ways to maintain actual wellness without having the revenue pressure of doing more procedures. Value-based care writ large. If our hospital beds are filled in the future we have failed. And we’re specifically focusing on technologies and capabilities that would allow for our hospital beds not to be filled.