"It's one thing to optimise them to get them through surgery, it's another (...) to optimise them period!" - Dr Fleisher begins the conversation as the team circle round the tricky issue of patient optimisation in the 'fee for service' world. Many hospitals don't want to reduce surgery, can the bottom line be shifted closer toward the greater good of 'public health'? Dr Fleisher explains that 'per beneficiary per month' (PBPM) is one possible route. The conversation evolves from there.

What are your thoughts? We are always keen to tap into the collective knowledge of our global audience, join the debate and send the team an email: [email protected]

Recorded on the first day of the 'EBPOM USA - Masters Course' this podcast features Desiree Chappell, Monty Mythen, Dr Lee A. Fleisher Chair of Anesthesiology and Critical Care (University of Pennsylvania) and Vicki Morton DNP and Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates University of South Carolina.

This piece is taken from a longer conversation to be found here: https://www.topmedtalk.com/dealing-with-policy-and-value-based-care-the-roundtable-blog/