Health Reform, Past and Present
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Dr. James Mongan spoke about "Health Reform, Past and Present" at the 10th annual William E. Petersen Symposium on Physician Leadership at the University of St. Thomas.
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The document discusses the history of health policy and reform efforts in the United States over several decades. It outlines key programs and legislation from the 1900s onward that attempted to address issues of access, costs, and quality of healthcare. The document argues that meaningful reform is difficult due to the complexity of the healthcare system and the many political and economic interests involved. Future reform efforts will need to focus on reducing costs while improving quality and access.
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- The key aspects of HSAs are outlined, including that they are individual medical savings accounts with tax benefits. Contributions are tax-deductible, savings grow tax-free and can be withdrawn tax-free for medical expenses.
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- Medicare Advantage plans help control costs. Spending on the Medicare prescription drug benefit declined by nearly 40% compared to initial estimates, and average monthly drug premiums are far below what was originally forecast.
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- While early benefits of the law are popular, the law remains unpopular due to concerns about higher costs for taxpayers and consumers. Up to 80 million Americans could be forced to change their health plans.
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This document discusses issues around rising healthcare costs in the US and Massachusetts. It outlines progress made on universal healthcare coverage through the Affordable Care Act and Massachusetts law. However, healthcare spending continues to grow much faster than economic growth. The document suggests focusing on preventing chronic diseases, which account for most healthcare spending, through workplace wellness programs and health plan designs that incentivize healthy behaviors. It proposes a state-level forum for businesses and healthcare experts to discuss driving innovation and efficiency in healthcare delivery to reduce costs.
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This document provides an overview of the U.S. healthcare system. It discusses key players like providers, insurers, and patients. It notes that healthcare is a trillion dollar industry, comprising hospitals, medical practices, and insurance companies. The document also outlines government programs like Medicare and Medicaid, different types of health insurance plans, and managed care organizations. Finally, it summarizes some electronic transactions used in healthcare like claims submission and response.
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Transparency has become even more important in the past year as we begin the health care reform discussion. There is not a signature event in Nashville to bring quality, marketing, transparency, and technology together. The Naked Hospital event will take the user experience from high level strategy through national and state legislative issues through practical hands on tools to walk away with. The event will focus on how and why health systems and hospitals should focus on quality reporting as well as financial reporting. At the end of the day, all of this puts additional strains on the information systems and resources deployed by most health systems and hospitals. How will they cope? What is the next step?
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- The Affordable Care Act aims to expand coverage to 32 million more Americans but 23 million will remain uninsured. It establishes insurance mandates and exchanges and cuts Medicare spending.
- While early benefits of the law are popular, the law remains unpopular due to concerns about higher costs for taxpayers and consumers. Up to 80 million Americans could be forced to change their health plans.
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Educational workshop presented by WealthTrust-Arizona and world-renowned guest Robert K. Smoldt, Chief Administrative Officer Emeritus at Mayo Clinic and Associate Director of Healthcare Delivery & Policy Programs at Arizona State University. Mr. Smoldt has been involved in health care administration for more than 30 years and is currently pursuing U.S. health reform in close partnership with Mayo Clinic’s Emeritus President and CEO.
At this workshop Robert examines a number of general statements that are, in his view, fallacious.
Benefits and beyond c. 1 intro
This document outlines the topics that will be covered in a course on employee benefits. It discusses how benefits are an important part of human resource management strategy and how they are used to attract, retain, and motivate employees. However, rising benefit costs are a challenge for employers. The course will examine issues like retirement plans, health insurance, legal compliance, measuring the value of benefits, and global models of providing benefits. It aims to help students analyze and improve benefit strategies.
Leonard Schaeffer: The Future of Health Care Reform
The document summarizes the current landscape for health care reform in the United States. It discusses the prospects for reform given Democratic control of Congress and the White House as well as the economic crisis. However, it also notes challenges like a split public and the need to control costs long term. The document advocates for a blended policy approach that combines expanding access through mechanisms like subsidies, exchanges and Medicaid expansion, while also implementing reforms to curb cost growth and improve quality, such as payment reform, health IT and establishing best practices.
NAOHP 2014- Onsite healthcare for Smaller business
On-site medical clinics are becoming more common and accessible for small employers. While traditionally only available to large companies, on-site clinics can provide value to employers of all sizes by improving employee health, reducing medical costs and workers' compensation claims, and boosting productivity and engagement. A case study of CM Almy, a manufacturing company with 79 employees in Pittsfield, Maine, found their on-site clinic reduced workers' compensation premiums by 60% and eliminated $60,000 in lost productivity costs. On-site services should be tailored to meet the needs of the specific employer but can include occupational health, injury treatment, wellness programs, and basic non-occupational care.
Health Care Reform: Payment and Qualiy
The document discusses health care reform and its impact on payment and quality initiatives for anesthesiologists. It summarizes that the health care reform law does not include a permanent fix for Medicare physician payment cuts. It outlines various provisions in the reform law aimed at tying physician payments to quality metrics and cost-effectiveness through programs like value-based purchasing, accountable care organizations, and bundled payments. It also describes the establishment of the Anesthesia Quality Institute and its National Anesthesia Clinical Outcomes Registry which will collect anesthesiology outcomes and practice data to help improve quality.
State Health Reform
Presentation by Lynn Blewett at the Minnesota Legislative Commission on Health Care Access, July 11 2007.
TAG Health January Presentation
The document summarizes key aspects of US health care reform including its impact on providers, employers, and what still needs to be monitored. It outlines major components such as Medicaid expansion, private insurance regulation, and improving quality. For providers, it discusses changes to payer mix, payment models incentivizing coordination and value. Employers will see implications depending on size, including penalties or credits for small businesses and requirements for large employers. Federal regulations and state exchange decisions will shape how the reform is implemented.
Stratum Benefit Solutions Presentation
The Covenant Care program offers an alternative to traditional employer-sponsored health insurance that focuses on managing real healthcare costs and risk factors. It provides integrated wellness programs, biometric screenings, and incentives to encourage healthy behaviors and reduce costs driven by lifestyle-related conditions. Case studies show the program helped organizations reduce claims costs by up to 62% while improving employee health outcomes. The program offers a capped risk alternative that provides downside protection similar to fully insured plans while allowing benefits customization and potential upside savings like self-funded plans.
Stratum Benefit Solutions Presentation
The document discusses Covenant Care, an alternative to fully insured employer health plans for groups of 25-250 employees. It offers fixed monthly funding caps and integrated wellness programs. Case studies show cost savings of up to 62% for employers who implemented this strategy of focusing on risk shifting rather than cost shifting through wellness programs and tools like biometric screenings, medical advocacy, telemedicine, and reinsurance contracts. The strategy addresses the root cause of rising costs, which are largely due to lifestyle-related and preventable chronic conditions.
Pulse - Allen Davis
The document discusses the current state and future of healthcare in the United States following the passage of the Affordable Care Act. It outlines that while aspects of the legislation may change, the country will not return to the prior system. It then covers key areas like rising costs, the number of uninsured, common health issues, and reform efforts around payment models. Finally, it speculates on potential scenarios for Medicaid, Medicare, the insurance marketplaces, delivery systems, and the ongoing debate around healthcare reform in the coming decades.
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WealthTrust-Arizona - Five Fallacies for Improving Healthcare
WealthTrust-Arizona - Five Fallacies for Improving Healthcare
Leonard Schaeffer: The Future of Health Care Reform
Leonard Schaeffer: The Future of Health Care Reform
NAOHP 2014- Onsite healthcare for Smaller business
NAOHP 2014- Onsite healthcare for Smaller business
Health Reform, Past and Present
- 1. William E. Petersen Symposium University of St. Thomas Opus College of Business James J. Mongan, MD President & CEO Partners HealthCare October 7, 2009