Innovating care delivery with ‘radical common sense’: An interview with CareMore CEO Sachin Jain

Jain discusses new models contrarian to equal care for all, emerging hospital at home services, and his top strategic priorities for the next three to five years.

Value-based payments. Consumerism. Digital transformation. With all the sweeping changes health care CEOs face today, it can be easy to get lost in the jargon, hype and hope. But some improvements are more efficient, not to mention scalable, when simply going back to the basics.  

And that is as true in care delivery as anywhere else, according to CareMore CEO Sachin Jain, MD. Prior to taking over as chief executive at CareMore, which is a subsidiary of Anthem, Jain held prominent positions at Merck, served at the Office of the National Coordinator for Health IT and the Centers for Medicare and Medicaid Services, among others.  

Health Evolution Editor-in-Chief Tom Sullivan spoke with Jain about expanding care setting boundaries, managing high-cost complex patients, and why in the next five to 10 years health care CEOs are going to have to make some hard decisions to do the right things.  

Health Evolution: It’s been a busy stretch for CareMore with the Welltower and SCAN Health initiatives. What’s the vision for those arrangements? What has happened so far?  

Jain: CareMore and our sister company Aspire, which I also run, are really focused on taking care of the complex and frail patients differently. It flies in the face of the American egalitarian health care ideal that all patients should be treated equally. My view is that all patients should be treated with the care that they need. We’re trying to grow access to high-quality, integrated care.

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