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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

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#MHwomenleaders12_Closing Session: Mary Grealy

  1. 1. Lead SponsorLuncheon Sponsor Reception Sponsor Refreshment Sponsor
  2. 2. KEYNOTE ADDRESSMary GrealyPresidentHealthcare LeadershipCouncil
  3. 3. Women Leaders in Healthcare Conference August 7, 2012Consensus Building in an Era of Extraordinary Challenge
  4. 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. 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. 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. 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. 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. 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. 10. Defining Success in Health Reform • Continuous quality improvement • Vibrant innovation • Eliminating health disparities • Improved cost-effectiveness • Sustainability
  11. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 21. Women Leaders in Healthcare Conference August 7, 2012