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slash disclosures. Hi, and welcome to the A16Z podcast. I'm Hannah. In this conversation, A16Z

bio-general partner Jorge Condé, market dev partner VanCat Mochilla, and myself talk all about driving

value-based healthcare with CEO of Blue Cross Blue Shield, North Carolina, Patrick Conway. Conway, a pediatrician

who was also formerly deputy administrator of CMS and director of CMMI,

has worked in both Republican and Democrat administrations and is considered one of the driving

forces behind the national movement to value-based care. Conway takes a deep dive into what

value-based care really means and different models and ideas for how payers can implement the

shift away from fee-for-service and volume-based care, as well as the role that social determinants

play in our health care, food and security, transportation, and more, how tech can be a driver of

change in those areas, and how to take a long-term view of the ROI in investing in these key

health care factors.

And finally, Conway shares his thoughts with us from an insider's point of view from the Hill

on what's the way to actually affect change in policy and regulation in health care.

And where are the areas where we can do that best right now?

So you're now the CEO of Blue Cross Blue Shield, North Carolina.

Can we start with just a little history? What's the history of these kinds of plans? How did they first

begin? So we started in 1933, actually, Cambia. They've been around 100 years. Most of these plans

basically evolved as like a state resource. In Texas, it was teacher unions. In the Pacific Northwest, it was timber. So literally

it was timber. In North Carolina, it was a plan that evolved to take care of a workforce.

...