Dr. Sachin Jain is setting out to build a very different kind of company—a nationally scaled nonprofit health plan grounded in Scan’s founding story of 1970s community activists seeking a new future of health for vulnerable communities. In the last two years the 4.5 star Medicare plan has announced a merger with Care Oregon, launched verticals focused on delivering health services to people experiencing homelessness and LGBTQ elders, and expanded to new markets. 
 
We discuss: 

• What’s possible with a longer time horizon

• How equity and social drivers are becoming the new hustle

• Why healthcare should borrow less from other industries

• How “no margin, no mission” is creating ethical laxity

• Unfinished business from our time together at ONC
  

Sachin calls for a new era of accountable leadership: 

“We need more ethical leadership in health care. And what I mean by that is we need to make sure that the words on the wall of every healthcare organization—the ethical compass, the values, the mission statements, the vision statements— actually mean something, and that the behaviors of leaders actually align to things. I think we've gotten lost in this glib “no margin, no mission” chatter, that creates this ethical laxity in organizations to begin doing things like aggressively billing their patients, or, you know, going so far as to repossess their assets when they can't pay their bills.”