Currently Viewing:
AcademyHealth 2018 National Health Policy Conference
Health Reform X.0 Panel Debates Medicaid, Other Topics at Health Policy Conference
February 05, 2018
Currently Reading
Policy Talk Tries Shifting Conversation About Who Pays for What in Healthcare
February 06, 2018
Surgeon General to Policy Conference: Let's Link Health to Economy, Defense
February 06, 2018
Dr Robert Dubois Discusses Addressing Healthcare Spending
February 14, 2018
Sara Rosenbaum on Medicaid Work Requirement and the Kentucky Lawsuit
February 15, 2018
Gail Wilensky Discusses the Impact of Waivers on State Medicaid Programs
February 19, 2018
Anne L. Schwartz Explains Data on Newly-Eligible Medicaid Enrollees
February 23, 2018
Dr Robert Dubois Discusses Tradeoffs When Allocating Healthcare Resources
February 26, 2018
Dr Robert Dubois Explains Challenges in Addressing Low-Value Services
March 09, 2018
Sara Rosenbaum Outlines Concerns Over Waivers in Medicaid Programs
March 13, 2018
Dr Anne L. Schwartz on Data in Healthcare Policy
March 15, 2018
Dr Robert Dubois on How NPC's Going Below the Surface Initiative Will Address How Well We Spend on Healthcare
March 20, 2018
Dr Anne L. Schwartz on Medicaid's Role in Addressing the Opioid Epidemic and Social Determinants of Health
March 25, 2018
Sara Rosenbaum Discusses Children's Healthcare
April 01, 2018
Dr Gail Wilensky Examines the Shift to Value-Based Care
April 03, 2018
Dr David Blumenthal Discusses the Best Practices for Getting to Value-Based Care
April 10, 2018
Sara Rosenbaum Discusses the Current Political Climate and the Effect on Medicaid
April 21, 2018
Dr David Blumenthal Outlines the Result of Mergers and Acquisitions in Healthcare
April 24, 2018
Sara Rosenbaum: A Disparities Agenda in Health Policy Is Needed
April 30, 2018
Dr David Blumenthal Looks Back as The Commonwealth Fund Celebrates 100 Years
May 06, 2018

Policy Talk Tries Shifting Conversation About Who Pays for What in Healthcare

Allison Inserro
We have been living in a groundhog world for the past several decades when it comes to healthcare spending, said Robert Dubois of the National Pharmaceutical Council (NPC) during AcademyHealth’s National Health Policy Conference, in Washington, DC. The session called When Are We Going to Get Serious About Health Care Spending in the United States? came a few days after the NPC launched an effort to have a dialogue around this issue by issuing a call for research around the topic and partnering with Health Affairs on a campaign called Going Below the Surface.
He also questioned if 1 solution would work for everyone. Like other presentations at the policy conference that cited last week’s Amazon­­–JP Morgan­­ Chase–Berkshire Hathaway health partnership, Chandra said he could imagine a white-collar financial services worker willing to pay more than a blue-collar hourly warehouse worker for healthcare for more expensive, innovative treatments. Income inequality will make this question harder to answer, he said.

It’s important to start asking the right questions, Chandra said, and ask about the value of our spending.

“Unable to say no to low-value care, we create powerful incentives to produce even more low-value care,” which leads to other ramification, he said.

Low-value care decreases our ability to deliver on other priorities, like social determinants of health. And then we struggle with being able to afford high-value interventions because we don’t know what to do.

Another panelist, Donna Cryer, president and CEO of the Global Liver Institute, talked about the issue from the patient perspective. “Patients don’t separate health from healthcare,” she said.

“Without health, children can’t go to school,” she noted. “We’re seeing our armed forces readiness being impaired by obesity and other chronic diseases.”

She said that health outcomes depend on just a small part of medical care given inside a provider's office and noted that in other countries, it’s helpful to look not just at what what they spend on healthcare but also on all the other factors that contribute to better health outcomes.

The final panelist, Glenn Steele MD, PhD, talked about his experience as head of the Geisinger Health System from 2001 to 2014 and how he is seeking to replicate those experiences elsewhere.

“If you want to change the behavior of the patient ... the single most interesting lever on that is through the provider,” he said. Geisinger focused on the primary care relationship between patients and healthcare providers, especially when it came to what Steele called the “redistribution of resources.”

“We would pay orthopedists less so that we could pay primary care providers more,” he said.

Geisinger also focused on educating staff on better outcomes and translating best practices into lower costs of care.

Steele now leads the Healthcare Transformation Alliance, made up of 47 large employers looking to share data on costs and outcomes, and will be looking at inappropriate utilization trends. He said they are creating a provider network and relationship with pharmacy suppliers. Currently operating in Chicago, Dallas, Fort Worth, Phoenix, Steele said it will expand to 5 more markets next year.

Copyright AJMC 2006-2020 Clinical Care Targeted Communications Group, LLC. All Rights Reserved.
Welcome the the new and improved, the premier managed market network. Tell us about yourself so that we can serve you better.
Sign Up