Ep 156: How the Economics of Healthcare Could Change Anesthesia

Money drives many of the decisions industries have to make and healthcare is no exception. As things become more expensive and less efficient, people are looking for ways to improve the quality and cost of care. Ian Hewer, PhD, CRNA, is an assistant professor at Western Carolina University and has turned much of his focus to healthcare economics and QZ team billing. Today he’ll tell us more about this team approach, how it’s impacting cost, and why it’s a good thing for CRNAs.    

Click the timestamps below to help you navigate through the many topics we discussed.

On This Episode:

The cost of healthcare has been a significant concern for many Americans for some time, but it seems to be more relevant today than ever. Prices continue to rise while care remains inefficient, and more and more people are trying to find ways to change this trend.

We’re seeing some of that in anesthesia, where a team concept is being utilized more and more. This is something that Ian Hewer, PhD, CRNA, has been following closely. He’s practiced for a long time in Asheville and his interest was piqued when he learned about a new billing model that allowed a practice to operate with fewer anesthesiologists.

We’ve invited him on the show to learn more about the economics of healthcare and what the future could hold for CRNAs. We’ll let him give you all the details, but the good news is this shift appears to be a positive for those working in anesthesia.

As you get started on the episode, keep an ear out for these topics:

  • How he became interested in this topic
  • The rise of the team concept in anesthesiology
  • Why the QZ model has led to consolidation of employers
  • How will this impact the future of anesthesia
  • What the average anesthetist makes in a socialist system
  • Looking at outcomes vs amount spent
  • Why he thinks we’ll see more CRNA-driven care in smaller settings

Check it out the interview at the top of the page and use the timestamps to help you navigate through the many topics we discussed.

4:34 – Introducing today’s guest and topic

6:53 – The anesthesia care team model

11:24 – Background on QZ billing

14:15 – Supervision

16:45 – How will affect the future of anesthesia?

22:48 – What does the average anesthetist make?

26:03 – Outcomes vs amount spent

30:57 – Solutions for the future

35:49 – What patients think of their care

37:02 – Problems with employer-based insurance system

38:34 – Two options we face

42:46 – CRNAs in good position

44:10 – Lightning Round


“Whoever the deals the care safely, efficiently, and cheaply is going to be the winner.”

– Ian Hewer, PhD, CRNA

SHARE THIS EPISODE

Facebook
Twitter
LinkedIn

SUBSCRIBE

EXPLORE MORE

CRNA Careers

Ep 200: Exploring the Power of Nursing and Its Future Impact on Healthcare

As we celebrate the release of our 200th episode, it seemed fitting to shine the spotlight on the profession as a whole and the people who devote their lives to helping others. Many CRNAs, and nurses in general, don’t give themselves enough credit for the work they do every day. So today we’re going to take a big picture look at the power of nursing and the innovation we’re doing that could change healthcare with Rebecca Love, RN, MSN, FIEL.

LISTEN NOW »
CRNA History

Ep 199: Olive Berger, CRNA – Founding Member of the AANA

The early years of anesthesia were a time when nurses proved just how valuable they were as this new world was being explored. Olive Berger, CRNA was one of the women that rose to the occasion and helped shape the profession through her work with ‘blue babies’ and with the AANA. Today we look back on her career with show historians Nancy Bruton-Maree, CRNA and Sandy Ouellette, CRNA.

LISTEN NOW »

SUBSCRIBE

NEW EPISODES EVERY WEEK!

Apple PodcastsGoogle PodcastsSpotifyStitcherTuneIniHeartRadio

HAVE A QUESTION OR WANT TO BE GUEST?

RECENT REVIEWS

J. Cross CRNA
Read More
This podcast is very well put together. I love the hosts Sharon & Jeremy, they do a fantastic job at presenting topics as well as getting great speakers on the show! This is my morning commute podcast everyday! Thank you for all that you do!
Bill.Nye
Read More
I enjoy listening every morning. Great content and always a pleasure to learn something new.
biggestbaseballfanever
Read More
I started listening to this podcast religiously early on in my CRNA journey, a year before applying to CRNA school. The content in this podcast was one of my most helpful resources for getting into my first choice school, Wake Forest! It has also been a huge motivator for getting involved with the AANA now and throughout my career. I highly recommend this podcast to every prospective CRNA I meet.
Trvlgrl1
Read More
I appreciate hearing the latest and greatest in the world of Nurse Anesthesiology while also getting Class B credits. Just listen on your commute for a win/win experience. I love the perspectives from Jeremy and Sharon who both ask varied and insightful questions!
doubledownmoney
Read More
If you’re a CRNA or any medical professional, I highly recommend giving this podcast a listen. Hosts have a great rapport.
Previous
Next

READ MORE REVIEWS OR LEAVE YOUR OWN!