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In this conversation, Peter Benjamin and Chris Comeaux discuss the impact of COVID-19 on mortality rates, particularly the concept of 'death pull forward' and its implications for hospice care.
Peter highlights the significant role of assisted living facilities in hospice days and explores macro trends in healthcare, emphasizing the shift from vertical to horizontal care models.
The discussion also covers the evolution of palliative care, frail elderly practices, and institutional special needs plans (iSNPs), while stressing the importance of measuring quality of care, particularly in pain management.
The conversation concludes with reflections on the future of healthcare and the necessity of collaboration across various care models.
Guest:
Peter Benjamin, Partner, The Huntington Consulting Group
Host:
Chris Comeaux, President / CEO of TELEIOS
https://www.teleioscn.org/tcntalkspodcast/conspiracy-of-verticals-rethinking-healthcare-models-with-peter-benjamin
Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
Chapters
1. Framing the “Death Pull Forward” (00:00:00)
2. The Data: Excess Deaths in 2020–2023 (00:03:26)
3. Is It Over? Why Forecasts Are Hard (00:07:50)
4. Baby Boomers, Life Expectancy, Reality Check (00:11:05)
5. CON Policy Meets Pandemic Distortions (00:16:40)
6. Where People Die Now: ALF and SNF (00:20:35)
7. Follow the Money in Senior Housing (00:24:20)
8. The Horizontal Model vs. Verticals (00:28:40)
9. PACE, ISNPs, and Frail-Elder Practices (00:33:10)
10. How Frail-Elder ACOs Actually Work (00:38:00)
11. Inside ISNPs: Model, Money, Impact (00:42:10)
12. Carve-In, Carve-Out, and Hospice Risk (00:48:30)
13. Palliative Care: Vertical or Horizontal? (00:52:20)
14. Quality Proof: Pain Management Gap (00:56:10)
15. Measuring What Matters at End of Life (01:01:00)
16. The “Conspiracy of Verticals” History (01:05:30)
17. Takeaways, Moats, and Partnerships (01:10:00)
125 episodes
