There's been a lot of talk about the need for our healthcare system to shift away from volume and fee-for-service, where you pay by appointment, procedure, etc, to value-based care, where you pay for both quality and outcomes—essentially, good health. But there's also been a real dearth of seeing how that might work in action, or concrete models for how to implement it at scale. In this episode, CEO of Blue Cross Blue Shield North Carolina Patrick Conway dives deep into how exactly we can make the move towards this kind of healthcare a reality, in conversation with a16z's General Partner Jorge Conde, Venkat Mocherla and Hanne Tidnam. Conway—also a pediatrician, and formerly Deputy Administrator at the Centers for Medicare and Medicaid Services (CMS) and Director of the Center for Medicare and Medicaid Innovation (CMMI)—gets into what value-based care really means; different ideas for how payors can implement the shift away from fee-for-service and volume-based care towards outcomes; as well as the critical role social determinants (food insecurity, transportation, and more) play in our health—and how tech can be a driver of change. And finally, Conway shares thoughtful analysis from an insider’s point of view from the Hill on how to actually effect change in policy and regulation in healthcare to move the entire system in this direction. This podcast was recorded on April 10, 2019. As of September 25, 2019, Patrick Conway is no longer CEO and President of Blue Cross Blue Shield North Carolina.

with @bhorowitz @shakasenghor ram @earnin & vaughn ferguson Hustlin’ Tech is a new show (part of the a16z Podcast) that introduces the technology platforms — and mindsets — for everybody and anybody who has the desire, the talent, and the hustle to do great things. Read more about it here. Episode #2, “The Hustler’s Guide to Getting Paid” (early, but actually, on time) features Ram Palianappan, CEO and founder of Earnin, which allows workers to access their pay instantly with no fees or interest; Vaughn Ferguson, who uses Earnin to avoid overdraft fees or payday loans -- both interviewed by Ben Horowitz and Shaka Senghor. "Just knowing that more people are really using these things that are out there, to their advantage and not their detriment." music: Chris Lyons