M-RCBG Senior Fellow-Led Study Group: Roshini Moodley Naidoo

Tuesday, March 5,  4:15-6:00pm  
M-RCBG Conference Room (B-102)

Session Host:
Roshini Moodley Naidoo, MD
Senior Fellow, Mossavar-Rahmani Center for Business and Government
LinkedIn: https://www.linkedin.com/in/roshinimoodleynaidoo/

This session will examine the dynamics of a health care Value-Based Contract (VBC), by exploring how VBC’s are defined, designed, implemented, and scaled. Value-Based Contracting, involving the payment for health care services, and expressed as a function of health outcomes and the cost of producing a health service, continues to  attract interest in the US and globally. In the US, projections estimate that VBC coverage will expand to a quarter of the population by 2027.  Contextual  factors such as the growth in Medicare Advantage, expansion of primary care services, and growth in Medicare Shared Savings Program are all enablers of VBC coverage.  These factors, however, do not detract from the reality that VBC models are operationally complex and nuanced, requiring significant investment in organizational capabilities and infrastructure, with returns usually accruing only in the medium-long term. In this session, we will unpack the motivations, challenges and opportunities facing health care executives, with designing, implementing, and evaluating value-based contracts.  Using examples, we will examine the external contextual and internal organizational enablers of VBC, explore the cost savings and quality gains offered by value-based contracts, and the portability of these contracts across differing operating environments.

This study group / discussion is open to all. Registration is not necessary.

M-RCBG welcomes individuals with disabilities to participate in its programs. To request accommodations or ask questions about access provided, please email: mrcbg@hks.harvard.edu

 Roshini Moodley Naidoo head shotDr. Roshini Naidoo is a globally experienced physician leader, corporate executive, board member, risk specialist and health care equity champion. Dr. Naidoo served as the Executive Head of Health Risk Management at Discovery Health, a publicly listed health care administrator in South Africa, and part of a global health and wellness operating structure in Europe, North America, Asia and Africa. She held financial oversight for 19 health plans and a membership of 3.5 million. Dr. Naidoo led transformative initiatives that shifted transactional fee-for-service health care systems to value-based care platforms through novel provider contracting instruments, risk management strategies, population health programs, and predictive data care models. She established a Quality Improvement business function aimed at improving patient empowerment and outcomes of care. Dr. Naidoo is a Professor of Practice at the College of Health Solutions, at Arizona State University where she instructs on post-pandemic Health Care Systems. She previously served as the first international Fellow of the patient safety organization, The Leapfrog Group, and led the publication of quality of care ratings of private hospitals in South Africa. While at Oxfam America, Dr. Naidoo led a study with The Coca-Cola Company and SABMiller to examine the social and economic impact of corporate policies and operations on poverty reduction. A precursor to ESG studies, the poverty impact analysis was profiled by the UN Global Compact. Dr. Naidoo is a member of the Board of the Africa Academy for Public Health, serving as the Chairperson of the Finance and Administration committee.  Dr. Naidoo previously served as a Director on the Board of Save the Children South Africa, and the Board of Health Quality Assurance (HQA). Dr. Naidoo earned her MBA from Harvard Business School, and her MPH from Harvard T.H. Chan School of Public Health. She served as a Harvard Business School Service Leadership Fellow and a Harvard South Africa Fellow. A medical doctor, Dr. Naidoo earned her MBChB from the Nelson Mandela School of Medicine, University of KwaZulu-Natal. Dr. Naidoo’s research involves health care equity, the governance of health care AI technologies, and the use of predictive data models in real-time clinical decision making. Her faculty advisor is Joseph Newhouse, John D. MacArthur Research Professor of Health Policy and Management at Harvard University. Email: rmoodleynaidoo@hks.harvard.edu