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#MHwomenleaders12_Closing Session: Mary Grealy
#MHwomenleaders12_Closing Session: Mary Grealy
#MHwomenleaders12_Closing Session: Mary Grealy
#MHwomenleaders12_Closing Session: Mary Grealy
#MHwomenleaders12_Closing Session: Mary Grealy
#MHwomenleaders12_Closing Session: Mary Grealy
#MHwomenleaders12_Closing Session: Mary Grealy
#MHwomenleaders12_Closing Session: Mary Grealy
#MHwomenleaders12_Closing Session: Mary Grealy
#MHwomenleaders12_Closing Session: Mary Grealy
#MHwomenleaders12_Closing Session: Mary Grealy
#MHwomenleaders12_Closing Session: Mary Grealy
#MHwomenleaders12_Closing Session: Mary Grealy
#MHwomenleaders12_Closing Session: Mary Grealy
#MHwomenleaders12_Closing Session: Mary Grealy
#MHwomenleaders12_Closing Session: Mary Grealy
#MHwomenleaders12_Closing Session: Mary Grealy
#MHwomenleaders12_Closing Session: Mary Grealy
#MHwomenleaders12_Closing Session: Mary Grealy
#MHwomenleaders12_Closing Session: Mary Grealy
#MHwomenleaders12_Closing Session: Mary Grealy
#MHwomenleaders12_Closing Session: Mary Grealy
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#MHwomenleaders12_Closing Session: Mary Grealy

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Mary Grealy's Presentation: Consensus Building in an Era of Extraordinary Challenge …

Mary Grealy's Presentation: Consensus Building in an Era of Extraordinary Challenge

http://bit.ly/MHwomenleaders12

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  • 1. Lead SponsorLuncheon Sponsor Reception Sponsor Refreshment Sponsor
  • 2. KEYNOTE ADDRESSMary GrealyPresidentHealthcare LeadershipCouncil
  • 3. Women Leaders in Healthcare Conference August 7, 2012Consensus Building in an Era of Extraordinary Challenge
  • 4. Healthcare Leadership Council• Coalition of leading executives from insurers, hospitals, pharmaceutical manufacturers, medical device manufacturers, other sectors• Shared vision of innovative, consumer-centered healthcare system defined by quality, affordability, accessibility
  • 5. Once There Was Just One…• Women leaders active in HLC decision making: – Vicky Gregg, BlueCross BlueShield of Tennessee – Patricia Hemingway Hall, Health Care Service Corp – Susan DeVore, Premier healthcare alliance – Adele Gulfo, Pfizer – Patricia Simmons, Mayo Clinic – Christine Jacobs, Theragenics – Heyward Donigan, ValueOptions – Colleen Conway-Welch, Vanderbilt University School of Nursing – Marion McCourt, AstraZeneca
  • 6. “Scholars find that women, compared with men, tend to excel in consensus-building and certain other skills useful in leadership.” --Nicholas Kristof, New York Times “When Women Rule”
  • 7. Where We Need Consensus• The direction of health reform – Kaiser July tracking survey: 38% favorable, 44% unfavorable• Entitlement reform• Deficit reduction and healthcare• The role of medical innovation
  • 8. Conflict in the Political World• Elections may not lend clarity• Presidential race will likely leave half of U.S. unhappy – CBS/NY Times poll: Romney 47-46% – Gallup tracking poll: consistent 1-2% margin• Obama maintains slight lead in key swing states
  • 9. A Closely Divided Congress• U.S. Senate based on current polling: 47 D, 45 R, 8 tossups (6 D seats, 2 R seats) – Neither party will have 60 votes needed to pass major legislation• U.S. House based on current polling: 214 R, 172 D, 49 tossups – Analysts: Majority unlikely to change, but Democrats could tighten margin
  • 10. Defining Success in Health Reform • Continuous quality improvement • Vibrant innovation • Eliminating health disparities • Improved cost-effectiveness • Sustainability
  • 11. Where Do We Focus Our Ideas,Our Voices?• Implementing health reform – Preserving the best, fixing the problematic• Deficit reduction that doesn‟t undermine American healthcare – Reforms that add value, not cuts that hurt quality and access• Strengthening entitlement programs for the long run – Understanding that the status quo is not sustainable
  • 12. The Best of Health Reform• Addressing the uninsured crisis a historic achievement• Takes steps in fixing the volume-not-value approach to healthcare – Centers for Medicare and Medicaid Innovation• Improved prevention and wellness features• Closing the Medicare Part D “doughnut hole”
  • 13. Health Reform Concerns to Address• Independent Payment Advisory Board (IPAB) – Ax to cut spending with no focus on value or quality – No accountability to public• Medicaid expansion – Low reimbursement rates present access concerns – Will all states participate?• Taxes, fees and payment cuts – Almost all health sectors take a hit – Impact on quality, access, innovation?
  • 14. Deficit Reduction and Health Care • Healthcare will be a focus of budget cuts • Simpson-Bowles ideas raise concerns – Global healthcare spending limits – Beefed-up IPAB – Resurrection of the „public option‟ • Reconcile two goals – spending reductions and improved health outcomes
  • 15. Private Sector Providing Answers• Companies in every health sector demonstrating how to improve care, curb costs• HLC Value, Wellness Compendiums – Providing metric-supported examples of cost-effective care, disease prevention
  • 16. Medicare Reform• National debt rapidly • Ensure economic growth increasing, burden for and jobs today; future generations opportunities for• Aging population requires children, grandchildren more healthcare tomorrow• Current entitlement • Maintain access to structure cannot stand healthcare for current, without tax future Medicare increases, provider & beneficiaries benefit cuts
  • 17. Medicare’s Future• Projected insolvency date: 2024• Over 10,000 baby boomers turning 65 each day – Beneficiary population: 45.2 mil today, 70 mil in 2030• Medicare 3.6% of GDP today; 6.4% in 2030• Average baby boomer couple will pay $114,000 in lifetime Medicare payroll taxes – Receive $350,000 in medical care
  • 18. Some Options on the Table• Denial (“Keep Medicare as we know it”)• Provider cuts – $575 billion in Medicare payment reductions in PPACA• Let IPAB do it• De facto price controls
  • 19. Is There a Better Answer?• HLC Approach: – Inject Medicare with consumer choice and competition – Private health plans compete on cost, value • Beneficiaries would have option of staying in conventional FFS Medicare – Cost savings generated by competition, not price controls or government-mandated payment cuts
  • 20. Consensus Building: The Tasks Ahead • Present compelling vision of innovation-based, accessible healthcare • Make clear that status quo cannot stand • Communicate the answers found in new private sector approaches • Build agreement that cost containment, quality improvement are not mutually exclusive
  • 21. Women Leaders in Healthcare Conference August 7, 2012

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