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Episode Info: Transcription:Ken Paulus 0:03Caregivers will be put back in a position to drive these big complicated specialty treatments instead of throwing these patients over the wall to us. And I think pharma will move from a sales model to a knowledge model where their job is to put information in the hands of caregivers, health plans, and members to make the right decisions at the right time in the right placeGary Bisbee 0:28That was Ken Paulus, President and CEO Prime Therapeutics, discussing the fragmented nature of today's healthcare system. I'm Gary Bisbee and this is fireside chat. Ken has been a health plan and large IDN CEO and now leads a pharmacy benefit manager with 30 million lives. He's in a unique position to comment on integration between pharma health plans and providers. Let's listen to Ken express the need for an air traffic controller to manage care for the patientKen Paulus 0:57I'm most concerned about fact that today, for any given American, there's really no captain of the ship. There's really no clear advocate or some person, entity-relationship that is air traffic control for a patient in need.Gary Bisbee 1:17Our conversation includes Ken describing the role of the PBM. And its value equation, barriers to quality and outcomes confronting caregivers, the need for physicians to be in charge complicated care paradigms, how Prime Therapeutics work with the federal government to ensure specialized drugs remain available during the COVID crisis, and the importance of developing a long term relationship with the patient. Let's listenKen Paulus 1:42COVID has shown us that we need somebody to focus on that long term relationship and it's just not happening today. Again, with great challenges come great opportunities now that's a big one. And if I was running a health plan business or an IDN right now I’d be running like heck, to solve that problem and fill that void. Our nation needs it now.Gary Bisbee 2:05I'm delighted to welcome Ken Paulus to the microphone. Well, good afternoon, Ken, and welcome.Ken Paulus 2:16Gary, Thanks for the invite. And I really look forward to talking to you today.Gary Bisbee 2:20I've interviewed you in person a couple of times with live audiences. So we're delighted to have you at the microphone. Let's get right into your background if we could. I know you grew up in the Chicago area. What was it like growing up? You had five siblings, six of you in the family? What was it like growing up with that group?Ken Paulus 2:38It was a very special upbringing, in a way. I'm from a middle-class family. My dad was a grocery store manager. My mom ultimately was a homemaker became a teacher, but neither one of them finished college. Kind of a classic Catholic family where they started having a family early both of them had to quit and basically raised the family. It was kind of a values-based upbringing. In even though we didn't have a lot, it was rich and full and positive and supportive and ended up being what ga...
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