Snapshots: Health Care 2021 Conference

Our quick notes from the Health Care 2021 Conference

Health-Care-2021

Missed the 7 hour conference? Read my highlights in 5 minutes!

One keynote. Three panels. Seven hours. Here are the ideas that really jumped out! Please note this is my completely unofficial point of view, and may not reflect what the panelists intended.

Health Care 2021: A Vision for New York

George Halvorson, Former CEO Kaiser Permanente

  • The big objective: Better care at lower cost
  • Coming soon: Healthcare will be delivered at 4 sites:
    • Hospital
    • Clinical facilities
    • Home
    • Online
  • Over 40% of care now delivered in clinics will be delivered in the home.
  • Online: continued usage of apps, driven by cost savings
  • Better care at lower cost is driven by changes in culture as well as procedural advances. Kaiser Permanente is pretty good at this.
  • Can these changes be implemented outside of the Kaiser system in the fragmented world of healthcare? Not really. You need a vertically integrated, single payer system.

Panel: Engaged and Informed Consumers and Patients

Moderator: David R. Sandman, PhD.

Panelists: Charles Bell, Programs Director, Consumers Union; Michael Miller, MPP Director, Strategic Policy, Community Catalyst; Sally Okun, RN, MMHS Vice President, Advocacy, Policy & Patient Safety, PatientsLikeMe

    • The “skin in the game” high deductible payer system we have now doesn’t change consumer behavior in a good way.
      • The original Rand study of the benefits of high deductible plans was seriously flawed. In fact, recent studies show that consumers consistently do not make good healthcare choices.
      • Over 60% of American households don’t have $1,000 to spend in a medical emergency
      • Only 20% of healthcare is actually “shoppable” for savings, so there is less consumer choice in the system than presumed
      • High deductible plans hurt the people who can least afford it – the working class
    • We have a multi-tiered system: the wealthy and relatively healthy at one extreme, the sick and poor on the other.
    • “Patients” are not “consumers”. Patients don’t shop for care, because care is not discretionary.
    • Furthermore, the healthcare system doesn’t even work for healthcare professionals. One of the panelists deals with 3 different patient portals to manage her healthcare!

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Technology and information sharing

Moderator: Amy Shefrin, Program Officer New York State Health Foundation.

Panelists: Farzad Mostashari, MD, Co-founder and CEO, Aledade; Eugene Heslin, MD, Lead Physician, Bridge Street Family Medicine

  • Three paths to value-based payment system
    • Systemic change to achieve better care/lower cost
    • Create a monopoly so there is less choice and leverage to keep costs high
    • Go out of business
  • Three key patient notifications that doctors want in an EHR:
    • Admission to hospital
    • Hospital stay
    • Release from hospital
  • A project to share patient data between primary care and behavioral health failed because of bureaucratic conflicts

Providers and Plans in 2021

Moderator: Andrea G. Cohen, Senior Vice President for Program, United Hospital Fund.

Panelists: Linda Brady, MD, President & CEO, Kingsbrook Healthcare System; Karen Ignagni, MBA, President & CEO, EmblemHealth; Jeffrey Kraut, Executive Vice President, Strategy & Analytics, Northwell Health; Paloma Izquierdo-Hernandez, MPH, MS, President and CEO, Urban Health Plan

  • Contract negotiations between payers and providers over value based payments and risk sharing are happening right now.
  • Contracts are not standardized yet, but they will be.
  • Convergence!
    • Emblem (payer) has clinics
    • Northwell (provider) offers a health plan
  • Prediction: if Northwell is successful, many of NYC’s mega-hospital systems will offer health plans. Single payer and vertically integrated: Sound a little like Kaiser Permanente?
  • DSRIP will probably need an extension. 5 years won’t get the job done. Many PPS will dissolve, as they are composed of frenemies.
  • Emblem implied that at least in NYC, there is too much hospital capacity. Where will they close? My guess: lower income areas.

Event co-sponsored by United Hospital Fund and the New York State Health Foundation

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LevinsonBlock is a Brooklyn-based healthcare marketing agency that specializes in mid-sized organizations. Our clients include healthcare providers such as FQHCs, disease foundations, and healthcare technology firms.
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