Karen DeSalvo
Showing 1–2 of 2 transcripts.
- Milken Institute36 min
Addressing Social Determinants to Improve Health Outcomes
Anand Parekh, Karen DeSalvo, Esther Dyson, Sergio Matos, Alan Moses, Lydia, Mark Hyman, Helen
Former health officials and community leaders convened to argue that social determinants like housing and food security drive 80% of health outcomes, citing Humana and CMS data where interventions yielded significant cost savings and improved well-being. Despite evidence supporting community health workers and local partnerships, the panel identified rigid funding structures, actuarial caution, and an overreliance on randomized trials as primary barriers to mainstreaming these models. Strategic recommendations include integrating social factors into Medicaid reimbursement, shifting from short-term grants to sustainable community ownership, and redefining health as a systemic design issue rather than a purely clinical one.
- Milken Institute1h 0m
Driving the Digital Health Revolution
Indu Subaiya, Paul Chew, Karen DeSalvo, Esther Dyson, Cindy Elkins, Donald Jones, Don Jones
The digital health sector is pivoting from episodic treatment to preventative "generating health" models, driven by a projected shortage of 40,000 primary care physicians by 2030 and the need to address social determinants that account for 80% of health outcomes. Companies like Omada Health and Way to Wellville are disrupting traditional fee-for-service structures by implementing value-based payment reforms that leverage behavioral design, remote coaching, and community-led interventions to achieve measurable clinical results. Despite significant funding and technological advancements in AI and connected devices, widespread adoption faces critical hurdles including regulatory lag, the digital divide, and the need for new data ownership frameworks to support equitable population health management.