Making Reform a Reality Denis Cortese, MD March 11, 2008

Advocacy/Consortium/Coalition Insurance for all Coordinated care Value Payment reform X X X X X X X X X X X X X X X X X X X X X X X X X X Partnership Divided Better Institute for Quality We Healthcare Engelberg of NCHC Care Fail Together Leap Frog HCCU CED Center Medicine X

Business/Insurer/Labor/Pharmaceutical Insurance for all Coordinated care Value Payment reform Coal. to Advance Health Business Healthcare Leadership Roundtable Reform NFIB Council AHIP BCBS AFL/CIO AdvaMed PhRMA X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X

Legislative Bill/Provider Insurance for all Coordinated care Value Payment reform Cons. of PNHP Every Am. Healthy Physician CA Nurses Insured Americans Specialty Assoc/ Act Act AHA CHA AMA FAH Groups NNOC ACP X X X X X X X X X X X X X X X X X X X X X X X X X X X X

Alignment with Other Reform Proposals 25 15 24 21 Other Health Care Reform Proposals (n=27) Coordinated care Insurance for all Value Payment reform MCHCP Cornerstone

Definition of Value Value = Needs and preferences of patients; measurable outcomes, safety and service; compared to the cost over time.

Value = Needs and preferences of patients; measurable outcomes, safety and service; compared to the cost over time.