Healthcare Delivery 2030 and Beyond with Unmesh Srivastava, Chief Technology Officer at P3 Health Partners Nevada was automatically transcribed by Sonix with the latest audio-to-text algorithms. This transcript may contain errors. Sonix is the best audio automated transcription service in 2021. Our automated transcription algorithms works with many of the popular audio file formats.
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Saul Marquez:
Welcome back to the Outcomes Rocket, Saul Marquez here, and today I have the privilege of hosting Unmesh Srivastava. He is the Chief Technology Officer of P3 Health Partners in Nevada. Over the years, Unmesg and his team have helped US health care with opportunities to drive innovation and disruptive transformation using digital enablement. He has worked with multiple innovative organizations, building and deploying the next generation of health care of the digital enablement projects have been geared toward driving a differentiated provider and patient experience while reducing the cost of care and improving quality of care. The technology products delivered by Mesh and his teams range from clinical decision support, technology for providers, data and artificial intelligence-enabled seamless care experiences for patients, and multiple other innovations to drive down the administrative burden on the providers and health systems. We are going to cover a lot today. It’ll be succinct, but it’s going to be powerful because what they’re doing at P3 Health Partners is so cool and adding so much value to the ecosystem that Unmesh is here with us to talk about it, so Unmesh, thank you so much for joining us.
Unmesh Srivastava:
Well, thanks for having me, Saul. Really excited for our conversation and to talk health care and tech and inspire some people to love it.
Saul Marquez:
And I love it. Let’s do that. So before we dive into P3 and the work that you guys do, tell us a little bit about yourself and what got you into the health care game, what keeps you in?
Unmesh Srivastava:
You know, health care is not for the weak-hearted. Let me say that. But I think, you know, health care, I am a technologist. I went to engineering school, undergrads and electronics communication masters, and engineering management. Was working in a consulting role for various different clients until I got to health care and then realized that health care has so many problems to solve, which also leads to a lot of opportunities. So if you are looking to if you are looking for big problems to solve for health care is the place to be because there are a lot of large and small problems that impact people’s lives on a day-to-day basis. And that’s what keeps me in health care. That’s why I never left, because, you know, there’s a sense of fulfillment you get when you solve you solve for big and small problems in health care, which you can see the impact right away. It impacts people’s lives. And I think you get to know that a little bit more when you go to a hospital and one of your loved ones in the family or you are going through a procedure or going through the hospital system and dealing with the insurance companies, you realize that there’s so much of your life that depends on the health care companies and how they operate. And I think that’s what keeps me going, is the impact on people’s lives and the amount of problems that need to be solved for keeps me motivated and keeps me being and in health care.
Saul Marquez:
I love that. And, you know, as as an engineer, you guys love problems, all right?
Unmesh Srivastava:
Yes. Our brains are wired that way unless we see problems that need to be solved. You know, we don’t have a good day.
Saul Marquez:
We have to solve problems and love it! Yeah, and health care certainly provides its fair share of those large and small, as you mentioned, P3 Health Partners. Before we dive into the details here, give us a level set. What’s the model? What are you guys up to?
Unmesh Srivastava:
P3 Health Partners was founded by two physicians who have been in the managed care area for twenty-five plus years. Our co-founders and what we P3 Health partners is as we are a managed care organization. So we work with large and small insurance companies, our health insurance firms, and we work on delegating on a risk delegated relationship with them. So primarily in the Medicare Advantage space. So they delegate the risk and they say, OK, P3, we need you to manage X number of lives in this particular geography. And the way we manage it is through our provider network. We have employed as well as contracted provider networks. And within our network, we have primary care provider specialists, hospitals, long term acute care facilities, skilled nursing facilities, pharmacies, labs. And through our ecosystem of this care delivery and this sort of a 360 ecosystem, we manage lives in the communities we serve. And currently, we are in four regions. So we are in Nevada. Arizona, Oregon, and Florida, and we are very fast-growing and we’ve been growing quite a bit in the last few years, and we want to build a national organization that manages risk in a completely different way.
Saul Marquez:
Awesome. Now, thank you for that. And tell us a little bit about where you believe P3 is adding value to that health care ecosystem.
Unmesh Srivastava:
Well, P3 is considered as value-based Care 2.0 because managed care value-based care has been around for 20 years. But in the last five years, five to seven years is when it’s catching traction because our health care costs have gone up pretty bad. Ours is one of the highest-cost health care systems in the world in the US. I mean, 18 percent of the GDP spend goes into health care. And what P3 is doing is we are shifting that whole concept of reactive care to proactive care. We are moving away like we are moving from fee for service to fee for value or outcome-based care. One of the things that differentiate us from our competition is we keep the patients and the physicians at the center of everything that we do as compared to other health systems where, you know, the administrative burden is too high in health care, that they get tangled in that. But all the design principles we use from a process and a technology perspective on our day-to-day basis are where we keep our core personas as patients and physicians. And that’s what we build for. And once you’re able to build a connected ecosystem which caters to patients and physicians, obviously your outcomes of care will go up and you can manage the other places. So I think that’s what differentiates us.
Unmesh Srivastava:
Also, we’ve done a lot of investment and data and data-driven approach to health care. And with all the data and AI that we’ve put in place that helps us, you know, actually practicing proactive care and proactive patient engagement as compared to reactive care when, you know, you’ve not managed or you’ve not engaged the patients and in the proactive care and you see them in the E.R. the first time, you know, or you don’t see someone for two years and now you know that they have a morbidity or a chronic condition that, you know, you see them in the hospital. So a lot of different things. I start talking about it. I think the list is unlimited or what we do differently. But these are some of the examples of how we are different as compared to other people in the same market or same industry.
Saul Marquez:
Yeah, I love the physician and patient focus than just building around that. It lends for that. And I’m glad that you have the physicians in there, too, because, you know, many, many health systems have, let’s just say they’ve kind of disregarded the physician. And that’s why we see so many physicians burnt out and struggling. There’s an opportunity here for us to do better for physicians as well. And it sounds like you guys are hyper-focused on it being physician founded and obviously they’re still in that leadership. What would you say makes you guys different than what’s available today?
Unmesh Srivastava:
Well, the same things. I mean, we are a patient and physician-centric organization, which means we do everything which is centered around the patients and the providers. And again, just like you said, you cannot discount the providers. I mean, 40 percent of the nation’s providers are burnt out today because of all the administrative burden we put on them, which takes them away from practicing medicine and providing care to be typists who are typing away the notes and the charts for half of their day. We are trying to take it away from that and sort of give the power in the hands of patients and the providers. Also, you know, what we do is we have brought in a lot of empathy, so we do a lot of everything that we build. From my experience, perspective, both technology and process experience, we followed the human-centered design principles and build a lot of empathy in the personas that we go after. So if the persona is a 70-year-old female with multiple morbidities and no family around her, then how we are designing the care experience for her is very empathy-based. So I think those principles of human-centered design is when I said at the start of our conversation, we are managed care, a value-based care 2.0, because we are bringing all of these advancements and the way we operate and we cater to our customers, which is very different than how others do it.
Saul Marquez:
Very good. Very good. Now, that’s fantastic. And, you know, this creative approach is very intentional approach to building a business that serves providers and patients is different to making. How would you say that you guys are improving outcomes Unmesh or and or making business better through business model innovation?
Unmesh Srivastava:
Well, I think the fact that we’ve invested so much in our data and technology ecosystem is what leads to outcomes. So if you get all of this together, we are reducing the medical costs per capita from the overall sort of way we manage our medical costs. I’ll give you one example. So says Saul went to the hospital last week, and he went in for a knee replacement and you went in and you did. This was an elective procedure and it was pre prior authorized by the plan. You go into the hospital, you get your knee replacement after you did the new replacement in two days when you were discharged, you went back to the pharmacy to the nearest pharmacy, got your medications, you got your discharge summary to tell you what medications you need to take. And then you have to get post-discharge labs done so that, you know, you can see how things are going. So then you went to Lapore after four days of discharge to make sure you get all your previous post-discharge tests done and then, you know, at the end of three places. So you were in one day in the hospital, Tuesday, you got discharged, Wednesday you went to the pharmacy. Friday you went to the lab. You were in three different facilities where your data was captured in three different places. And now when you are ready to move and go back to your PCP the following week, the PCP might not have all of that data. What happened in the hospital? What medications were given to you? What were your lab results? You know, it’s very hard to get all of those data together, which means that when your PCP is now finally seeing you after the surgery, he or she might not have all the data related to Saul to have a better conversation with you to exactly know what happened last week.
Unmesh Srivastava:
So that’s one of the problems that we are solving. In our case that we treat, if Saul was with P3 and SAUL went to the hospital, as soon as Saul got discharged, there was an HIE notification that went out to the PCP that he was getting discharged. Here’s his discharge summary. Here are all the medications. Here are all the post-discharge things that he needs to take care of. So they get that data and a push notification on their portal. At the same time, when Saul went to the pharmacy and the lab, we do receive feeds from Laport as well as from the nearest Walgreens he went. Now when you are in front of your PCP, your PCP will have a 360 view of Saul. That’ll give the entire view of not just last one week, but last three years. And show all the clinical history, all the medication history, all the admission history, as well as what happened in the last week. So now we give it an easy to view 360 view to your PCP so the PCP can say, OK, well, based off on the last two years of your clinical history and what happened the last two weeks, last one week, let me provide you with the right transitions of care back into your regular life.
Unmesh Srivastava:
So this is one example of how we are improving a patient’s life on a day-to-day basis as compared to other systems that might not be that well connected.
Saul Marquez:
Yeah, that makes a lot of sense. And why isn’t it like this everywhere? You know, I mean, there’s certainly an opportunity for us to move in that direction. And you are doing such a great job of giving the lives you guys are responsible for this benefit, it’s critical. And so as you think about some of the setbacks that you guys have run into as a result of putting this great business together, what’s an example of one of those Anarky learning that came out of one of those setbacks?
Unmesh Srivastava:
Well, you know, you don’t build anything new without setbacks. So I always see us moving in two steps forward and one back, but still means a positive movement to us. I mean, there are a lot of setbacks. We’ve had we’ve built our project plans and our resource plans and our strategy. And then all of a sudden we realize that, OK, well, the strategy we put together really doesn’t make sense on the ground and we need to change it up. So, I mean, it can be resourcing. It can be our technology enablement, your integrations, interoperability. We’ve seen multiple setbacks. But I think what differentiates us is the entrepreneurial bail in things, which means that it’s what we go by is it’s okay to fail. What do you need to do is you need to fail fast, fail cheap. So, you want to learn fast, you want to learn cheap, and you want to learn often. You want to move forward, so as we are getting I think that’s my as the technology leader for the organization. That’s my message to all of my team saying, guys, we can never be picture-perfect. We will never be picture perfect. If we are picture-perfect, then there’s something wrong.
Unmesh Srivastava:
And we are not probably doing it right because you cannot move it setbacks. So I think our approach of doing things is it says that it’s okay to fail, know it’s okay to learn. And we are nimble. And I got my teams back to make sure that while they are learning, while they are failing and building, I’m right by them and so is the entire management team of P3. So that’s what I do. And what I tell my team very often is US technologists. Please don’t think that technology is the answer to everything. You know, a lot of us techies think that you know, you keep technology at the center of stuff and the next shiny object as the world is the answer to world hunger issues, that’s really not the case. So focus on the problem, focus on your customer, and focus. Be sitting there in their chair and be in their shoes to really realize what you are doing and how that impacts them. And only then you are going to build the best solution. So these are some of the things we keep at the center as our approach, and that’s how we move on and build great things.
Saul Marquez:
I love it. Yeah. So you guys are in three states, Arizona, Oregon, Florida, Nevada. If you’re listening to this and you’re a provider looking to engage or a patient looking to engage or a plan, there’s an opportunity here for you to to to connect with three. What are you most excited about today?
Unmesh Srivastava:
Well, I’m excited about the future of health care. I think in the last five years or last three years, with all the big tech coming into health care, a lot of organizations sort of doing a lot of work in the health care innovation and just the rapid transformation that’s going around. I think health care is at the cusp of a disruption using tech and processes. And that’s what I’m most excited about. So if anyone is working in health care, there’s no better time to be in health care. I mean, all of the other industries have already been disrupted. You know, fintech is pretty big. So is the way you shop for things. You know, e-commerce with Amazon and all of the other organizations, transportation has changed, you know, at the quantum computing with Lean and Six Sigma, with the way you go into aerospace manufacturer. So there’s a lot of these other industries have been disrupted by technology and by process. And I think health care is at the cusp of that. Anyone who is in health care, I think all of us are very excited about that change that we are driving in the industry.
Saul Marquez:
I couldn’t agree with you more, Unmesh. We’re in this amazing time. And with the pandemic, it seems like the tolerance has gone up and the willingness to do things differently is also a lot bigger. Let’s do the best that we can with this window that we have open right now and follow his passion and focus here to make health care better when Unmesh, tremendous opportunity here. Thank you so much for sharing your thoughts. Leave us with the closing thought here. And then the best place for the listeners could get in touch with you or the P3 team for more information.
Unmesh Srivastava:
Yes. Yes. Well, my closing thoughts would be that, you know, for all of your listeners is, you know, health care, especially the folks who are in health care. There’s a tremendous opportunity right now. I think we all have to be nimble. We need to learn fast and learn cheap, learn often and sort of put a lot of passion into redesigning health care. And for the people who are trying to switch industries, I would say come in health care if you like, problem-solving, if you like, impacting people’s lives, this is the place to be. I’m very passionate about health care. And if there’s anything that I can do to help one person succeed or one person or as many people have a future in health care, I would love to do that. So if you want to get in touch with me, please reach out to me on my LinkedIn page. It’s Unmesh Srivastava, and you can search for P3. You’ll find me there. Any patients who are in the four geographies that we serve, please visit our website, contact us with love to get in touch with you and come join our panel with one of our PCP’s. If you’re a health plan, looking for a delegation and a partner who can have a tremendous impact on medical costs, then please come contact us in the four geographies or outside. And for all the doctors who don’t want to sign five year deals with the large health system. We are nimble, we are a physician-run organization, come, come join us and be a part of this journey.
Saul Marquez:
I love it. Great invitation for everyone listening, engage. And if you want to learn more too, the website is P3hp.org We’ll leave a link to that in the show notes as well as a link to Unmesh’s LinkedIn profile. So you could get in touch. Just go to POutcomesRocket.Health. We got a brand new bar there for you where everything literally comes up so nicely and you’ll be able to find them there. Unmesh, thank you so much. This has been great.
Unmesh Srivastava:
Thanks so thanks for having me and great conversation.
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