Tommy Thompson - The Future of Healthcare Reform
0 likes257 views
Secretary Tommy Thompson gave a presentation on the current state of health care in the United States. He noted that health care has never been more uncertain and discussed some of the key issues facing the system, including chronic disease, waste, and a lack of outcome-based care. Specifically, he pointed out that chronic diseases like obesity account for 75% of health care costs. Additionally, the current payment system is highly fragmented and complex, similar to the outdated financial system of the 1960s, and this contributes to inefficiency and waste. A more coordinated payment network, like those used in the financial industry today, could help address some of the challenges facing health care.
Tommy Thompson - The Future of Healthcare Reform
- 1. Health Care Today & Tomorrow: The Diagnosis Presentation by: Secretary Tommy Thompson 2013 Cleveland HeartLab Symposium
- 2. The Greatest Obstacle to Improving U.S Health Care?
- 4. What Will Exchange Members Look Like?
- 7. New Medicaid Spending Washington Post—August 2013
- 8. Health Care: The Diagnosis 1. Never has health care—the providing of, the cost structure and the definition of quality of care— been less-certain than it is right now. Does today’s uncertainty provide any sort of certainty for tomorrow? 2. The problem with health care in the United States isn’t that there isn’t enough money in the providing of care, if we address key issues—for example; chronic care specifically obesity, waste and fraud and outcome-based health care--there’s more than enough money if we better-address these issues.
- 11. The High Cost of Chronic Disease • 33 million Americans (or 1 in 2 adults) live with some sort of chronic disease. • Chronic disease is the cause of 7 out of every 10 deaths—and is responsible for an estimated 75% of our cost of care. • Four common, health-damaging, but modifiable behaviors—tobacco use, insufficient physical activity, poor eating habits, and excessive alcohol use— are responsible for much of the illness, disability, and premature death related to chronic diseases.
- 13. Financial Service Model of ‘60s Bank Bank Auth Pmt Auth Bank Pmt Auth Bank Pmt Auth Bank Pmt Auth Bank Pmt Auth Pmt Chaos: Hundreds of formats and paths for the same information Bank Switches Merchant Merchant POS Terminals Bank Switches Merchant Merchant Merchant POS Terminals Merchant POS Terminals Merchant No collaboration or aggregation. Financial incentive was strong because chaos cost the banks.
- 14. Today’s Financial Service Model Bank Auth Bank Auth Pmt Bank Pmt Auth Bank Pmt Auth Bank Pmt Auth Bank Pmt Auth Pmt Payment Networks (Visa, Mastercard, ACH) A single format and upstream control of the same information Bank Switches Merchant Merchant Merchant POS Terminals Merchant Merchant Merchant Merchant A few major networks surfaced, owned and operated exclusively by the banks, became a massive revenue source.
- 15. Today’s Health Care Payment System Health Plan Health Plan Health Plan Health Plan Health Plan Health Plan ERA ERA ERA ERA ERA ERA Pmt Pmt Pmt Pmt Pmt Pmt Chaos: Hundreds of formats and paths for the same information Intermediaries Provider Provider Financial Services Intermediaries Provider Provider Provider Financial Services Provider Financial Services Provider No collaboration or aggregation: 1,300 health plans, 5,724 hospital systems, 800,000 unique providers, 50+ intermediaries