Ep. 2: Roadmap to Reform

Despite the fact that a majority of Americans get their health coverage through their job, few conversations focus on what employers’ role in shaping the future of the U.S. health system.In our newest episode of Healthy Dialogue, ACHP President and CEO Ceci Connolly sit down with Morgan Health CEO Dan Mendelson to discuss that very question. At Morgan Health, Dan is trying to build a new approach to employer-based health care; his vision focuses on value over volume, focuses on delivering equitable outcomes and puts patients—i.e., his friends and colleagues—at the center of care. Join us to learn how employers can help build a more equitable, more sustainable, high-quality health care system.

Next week, President Biden will deliver his State of the Union address. But, while COVID-19 ensures health care will remain a top issue for the Biden Administration, it's unlikely the intricacies of health care policy will be top of mind for political pundits. ACHP is here to highlight a critical and common thread across the Administration's priorities—value. In this week’s episode of Healthy Dialogue, ACHP’s Ceci Connolly sits down with Dr. Mandy Cohen, former Secretary of Health in North Carolina and incoming EVP and CEO of Aledade Care Solutions,to discuss opportunities for the federal government and health care industry to drive higher-value care.

Health care is top of mind for voters nationwide — and it’s easy to see why. In the midst of a raging public health crisis, as millions consider how they will access affordable health coverage, and as the Affordable Care Act’s (ACA) future remains uncertain, it’s clear that there’s a ton on the line this election and beyond. In this week’s episode of Healthy Dialogue, ACHP’s Ceci Connolly sits down with Dr. Ezekiel Emanuel, one of the architects of the ACA, to discuss the response to the COVID-19 pandemic and what health care might look like post-election.Guest:Ezekiel Emanuel, Vice Provost for Global Initiatives and chair of the Department of Medical Ethics and Health Policy at the University of Pennsylvania

Chronic conditions impact nearly 133 million Americans and account for roughly 90 percent of all health care spending in the United States. Improving how we manage and treat these conditions is key to improving affordability and quality of life across the country.In this week's episode, Ceci dives into policy and industry reforms to improve management of chronic care — and takes a look at on-the-ground efforts to implement some of those changes. GuestsU.S Representative Tom Reed (NY-23), Co-Chair Problem Solver's CaucusJoan Budden, President and CEO, Priority HealthDr. Pat Courneya, Chief Medical Officer, HealthPartnersJoe Fifer, President and CEO, Healthcare Financial Management AssociationResourcesHealth Care 2030: ACHP’s Roadmap to ReformIssue Brief: Price Transparency Certification

A concentrated focus on prevention, coordinated care and management of chronic disease can go a long way toward improving health outcomes and reducing costs. Many of these steps can be accomplished through smart investments in a robust primary care system. Prioritizing outcome-based primary care is a proactive approach to medicine that’s focused on keeping people healthy—and out of the health care system.Guests:Ann Greiner, President and CEO, Primary Care CollaborativeDr. Mark Huth, President and CEO, Group Health Cooperative of South Central WisconsinVirginia Whitman, Alliance of Community Health Plans

Effective health care goes beyond standard check-ups and visits: after all, factors outside the exam room often have more impact than any single treatment a doctor can try. That’s why a community-based approach to health is so essential. In episode 5 of Healthy Dialogue, Ceci and guests discuss the central role social factors can play in shaping a person’s health and how health care organizations can help tackle these challenges. Guests:Dr. Adaeze Enekwechi, President, Impaq InternationalDr. Trenor Williams, CEO, Socially DeterminedDr. Jaewon Ryu, President and CEO, Geisinger

The American health care system is dominated by misaligned financial incentives, rewarding providers for more--but not necessarily BETTER--treatment. In this episode, Ceci and guests we discuss ways to shift our health care approach away from volume – and the waste and unnecessary care it involves - and to a model focused on value. Research repeatedly shows that a value-based, outcome-focused system reduces costs and produces better health outcomes. Hear what the experts have to say in Ep 4 of Healthy Dialogue.  Guests:Shannon Brownlee, Senior Vice President, Lown InstituteDiane Holder, President and CEO, UPMC Health Plan--------------Resources:Lown Institute Hospitals Index

In much of American health care, payers and providers are separate, distinct entities that simply have a business arrangement. But there are exceptions to that rule, and close payer-provider alignment can generate innovations that not only work for then, but for the patient. Ceci explores the power of those relationships, as well as value and affordability in the current system.Guests:Dr. Susan Turney, President and CEO, Marshfield Clinic Health SystemJulie Brussow, President, Security Health PlanAvik Roy, President, The Foundation for Research on Equal Opportunity, and Policy Editor, Forbes--------------Resources:“Tackle affordability through competition or it will come through government control”, Modern Healthcare, by Avik Roy“Medicare Advantage for All”, FREOP, by Avik Roy

Change in the U.S. health care system generally happens in one of two ways: either voluntarily through health plans and clinical systems, or legislatively through Congress. This episode looks at both approaches and introduces “Health Care 2030: ACHP’s Roadmap to Reform” – a 10-year blueprint for maximizing both the voluntary and the legislative.Guests: Former HHS Secretary and U.S. Rep. Donna Shalala (D, FL-27)Dr. Marc Harrison, CEO and President, Intermountain Healthcare_________________Resources: "What One Health Care CEO Is Learning from the Pandemic", Harvard Business Review, by Dr. Marc Harrison

The COVID-19 crisis has been a public health catastrophe, leaving 6 million+ infected and nearly 200,000 dead. But, to combat the pandemic, the health care industry has begun to develop rapid, off-the-cuff innovations in American health care. ACHP's Ceci Connolly explores some of those changes, assesses their staying power in a post-pandemic health system and discusses systemic obstacles to even more innovation.Guests:Dr. Vivian LeeDr. Stephen Parodi, Executive Vice President, The Permanente Federation     _______________Resources: The Long Fix: Solving America's Health Care Crisis with Strategies that Work for Everyone by Dr. Vivian Lee - Available now on AmazonLearn more about Kaiser Permanente and the Permanente Federation