Cortese/Korsmo Presentation


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Denis Cortese, M.D., president and CEO of Mayo Clinic, and Mayo Clinic Rochester chief administrative officer Jeff Korsmo presented highlights of the Mayo Clinic Health Policy Center's work on health care reform.

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  • Cortese/Korsmo Presentation

    1. 1. La Crosse Leadership Luncheon on Health Care Reform Denis A. Cortese, MD Jeff Korsmo April 28, 2008
    2. 2. Why Health Care Reform Is Important <ul><li>To Mayo Clinic </li></ul><ul><li>Demographics alone will force Medicare reform </li></ul><ul><li>Do you think how Medicare is reformed will have an impact on Mayo Clinic? </li></ul><ul><li>To US </li></ul><ul><li>Too many citizens without insurance protection </li></ul><ul><li>Huge opportunities in efficiency and effectiveness </li></ul><ul><li>The needs of the patient come first </li></ul>
    3. 3. *Value = Quality/Cost = Outcomes, Safety, Service/Cost Over Time Learning organizations Pay for value Value* Individ- ualized Medicine Science of Health Care Delivery Integration and coordination
    4. 4. Pay for Value <ul><li>Pay for results, outcomes, value, not process compliance </li></ul><ul><li>Purpose for process is to achieve better value </li></ul>(outcomes, safety, service) Value = Cost over a span of care Quality
    5. 5. Increasing Value in Health Care Time, people and capital CP1297803- Translational Research Basic Research Clinical Practice New Clinical Practice Innovation (New Idea, Old Idea, New Way) Value Translational Education
    6. 6. Translational Research Basic Research Clinical Practice New Clinical Practice Innovation (New Idea, Old Idea, New Way) Time, people and capital Translational Education Enterprise Learning System Enterprise Learning System Increasing Value in Health Care CP1297803- Value Individualized Medicine Science of Health Care Delivery Integration
    7. 7. *Value = Quality/Cost = Outcomes, Safety, Service/Cost Over Time Learning organizations Pay for value Insurance for all Value* Individ- ualized Medicine Science of Health Care Delivery Integration and coordination
    8. 8. Insurance for All <ul><li>FEHBP – Model </li></ul><ul><li>All people own insurance; All participate </li></ul><ul><li>Employers can purchase all or some </li></ul><ul><li>Government help finance in sliding scale </li></ul><ul><li>All insurers take all patients </li></ul><ul><li>No pre-existing condition exclusions </li></ul><ul><li>Adjust for initial conditions </li></ul><ul><li>Sunset Medicare and Medicaid </li></ul>
    9. 9. Mayo Clinic Health Policy Center <ul><li>Goal </li></ul><ul><li>Influence stakeholders to implement substantive health care reform before 2011 that will enhance quality and availability of health care for all patients </li></ul>Role Convening
    10. 10. Scope of Participation PATIENTS Medical Industry Leaders Insurers News Media Political Leaders Business Leaders Providers
    11. 12. Policy Forum Topics <ul><li>Baker Center – Univ. of Tennessee Health Insurance for All Americans Knoxville, November 2006 </li></ul>Harvard Kennedy Health Policy Center Improving Effectiveness and Efficiency Boston, January 2007 RAND Corporation Encouraging Integrated Care Santa Monica, March 2007 Dartmouth Evaluative Clinical Sciences Pay for Value Hanover, June 2007
    12. 13. YOUR VOICE, NEW VISION Tour <ul><li>Nine city tour to collect letters and film and record “woman/man on the street” views </li></ul><ul><li>Mayo organized, but other partners: </li></ul><ul><ul><li>American Hospital Association </li></ul></ul><ul><ul><li>American Medical Group Association </li></ul></ul><ul><ul><li>Kaiser Permanente </li></ul></ul>
    13. 14. YOUR VOICE, NEW VISION Focus Groups <ul><li>Six sessions in Atlanta, Cincinnati, and Los Angeles with chronic disease patients </li></ul><ul><li>Reviewed MCHPC recommendations without identifying them with Mayo Clinic </li></ul><ul><ul><li>Cornerstones endorsed when explained– they were not self evident </li></ul></ul><ul><ul><li>When changing delivery system, concerned about major shifts; recommended a phased approach </li></ul></ul><ul><ul><li>People fear that change could make things worse </li></ul></ul>
    14. 15. YOUR VOICE, NEW VISION Consumer Survey Conducted by Harris Interactive <ul><li>Methodology </li></ul><ul><li>1,018 online surveys </li></ul><ul><li>U.S. residents, ages 25-75 </li></ul><ul><li>All health care decision makers </li></ul><ul><li>Consumer profile </li></ul><ul><li>More than half had a chronic condition </li></ul><ul><li>Nearly 20 percent reported fair/poor health </li></ul><ul><li>One in 8 was uninsured </li></ul>
    15. 16. <ul><li>American consumers are: </li></ul><ul><ul><li>Frustrated with health care </li></ul></ul><ul><ul><li>Want to get more involved in their own care </li></ul></ul><ul><ul><li>Distressed with the high cost of health care </li></ul></ul><ul><ul><li>Opposed to new taxes and more government involvement </li></ul></ul><ul><ul><li>Believe quality, coordination and access can be improved </li></ul></ul><ul><ul><li>Are pessimistic about prospects for health care reform within the next 10 years </li></ul></ul>Key Survey Findings
    16. 17. Supporting Activities Continued/Planned Leadership Visits <ul><li>Examples </li></ul><ul><ul><li>AARP </li></ul></ul><ul><ul><li>SEIU </li></ul></ul><ul><ul><li>AMA </li></ul></ul><ul><ul><li>New York Business Group on Health </li></ul></ul><ul><ul><li>Leapfrog </li></ul></ul><ul><ul><li>Employers (Verizon, General Motors) </li></ul></ul><ul><ul><li>Pharma (Merck) </li></ul></ul><ul><ul><li>UAW </li></ul></ul><ul><li>Interactions with >140 organizations </li></ul>
    17. 18. We All Must Change <ul><li>Providers </li></ul><ul><li>Improve effectiveness and efficiency </li></ul><ul><li>Stress prevention, health, integration </li></ul><ul><li>Patients </li></ul><ul><li>Prevention/healthier lifestyles </li></ul><ul><li>Chronic disease compliance </li></ul><ul><li>Fair financial stake </li></ul><ul><li>Payers/employers </li></ul><ul><li>Encourage prevention, compliance and health </li></ul><ul><li>Change payment approaches to reward providers who deliver value </li></ul><ul><li>Government </li></ul><ul><li>Independent “health board” to coordinate private insurance options for all, transparency, IT interoperability </li></ul><ul><li>Financial help to those in need </li></ul><ul><li>Support research and education </li></ul>
    18. 19. Second Mayo Clinic National Symposium on Health Care Reform <ul><li>Brief review of forum principles </li></ul><ul><li>Review/analyze major health reform proposals from presidential candidates </li></ul><ul><li>Identify/prioritize actions that different sectors can take to contribute to positive health care reform </li></ul><ul><li>Begin creating an action plan for change </li></ul>March 9 – 11, 2008 Leesburg, VA
    19. 20. MCHPC Cornerstones Coordinated care Value Insurance for all: FEHBP model Payment reform
    20. 21. Results from March 2008 Symposium Action Steps: Private Sector <ul><li>Payment Reform Make the case for payment reform with properly aligned incentives (outcomes, prevention, etc.) </li></ul><ul><li>Models of Care Develop care programs and payment methods to improve value for chronic illnesses, end-of-life care, etc. </li></ul><ul><li>Care Coordination Develop and support care models that include defined care coordinators for patients with chronic and acute conditions. </li></ul><ul><li>Universal Clinical IT Encourage the universal use of interoperable IT systems. </li></ul>
    21. 22. Results from March 2008 Symposium Action Steps: Public Sector <ul><li>Insurance for All Provide insurance for all by requiring individuals to purchase insurance and providing government assistance for those in need. </li></ul><ul><li>Electronic Medical Records Require creation and use of interoperable electronic medical records, which can be accessed by patients. </li></ul><ul><li>Medicare Payment Reform Link value to payments by directing Medicare to pay for value and outcomes. </li></ul>
    22. 23. HPC Next Steps <ul><li>Cross-sector work groups to further develop symposium recommendations </li></ul><ul><li>Medical education conference – April 2009 </li></ul><ul><li>IT summit </li></ul><ul><ul><li>Mayo Clinic recently hosted an IT summit… 13 IT companies – competitors. </li></ul></ul><ul><ul><li>The IT companies issued a challenge to us: Define what you want, and we’ll build it. </li></ul></ul><ul><ul><li>Convener of IT and providers </li></ul></ul><ul><li>Develop strategy for political process, including next president and Congress </li></ul>
    23. 24. Panel Discussion