A podcast hosted by FAH’s Chip Kahn that shines a light on everything hospitals; from the advancements in patient care to how a hospital benefits its community.
How Hospitals are Helping Tackle the Drug Shortage Crisis
16:31IN THIS EPISODE:For the past 15 years, drug shortages have been a persistent problem for hospitals and thepatients they serve – and extreme cases can even lead to rationing, delaying, or cancelingtreatments or procedures.Tackling the drug shortage crisis is a complicated issue requiring creative solutions. That’s whereCivica comes in – a non-profit pharmaceutical company created by hospitals and health systemsto address these critical shortages.In this episode, Chip speaks with Civica’s Senior Vice President for Public Policy Allan Coukellabout why the company was formed, the challenges they are tackling, and how it plans to helppatients into the future. Topics include:The state of hospital drug shortages in the US todayTaking the bull by the horns: how a non-profit company created by hospitals is helpingpatients.The success of Civica's model:Long-term purchase and supply contracts directly with hospitals that add stabilityto the market.Maintaining an approximately 6-month buffer inventory of every drug.US sourcing whenever possible.Intensive quality oversight of suppliers.A single cost-plus price, available to every purchaser.How the company got into drug production.Policy solutions to ease drug shortages.GUEST:Allan Coukell, Senior Vice President. Public Policy, Civica Inc.MORE:Civica currently delivers 80+ drugs, all chosen by US hospitals for being at risk of shortage, withmore than 140 million containers delivered to hospitals over five years, serving 60 millionpatients.It currently works with 1,500+ hospitals from 55-member health systems, like HCA Healthcare,Mayo Clinic, Common Spirit &amp; US Department of Veterans Affairs.Learn more here: https://civicarx.org/
Voter Views: Politics of Health Care During a Presidential Election
23:40Guest:Phillip Morris, Partner & Leads Strategic Insights Practice, LSGIn this episode:It is only January, but the campaign season is already in full swing. From the White House tocontrol of Congress - power in Washington is up for grabs. In this episode, Chip Kahn talks withPhillip about what issues matter most to voters and where health care fits into that list ofpriorities.Topics they examine include:Most important issues to likely voters in this year&#39;s election - inflation, the economy, and immigration.Views on health care – voters point to big insurance and pharmaceutical companies as the main reasons for rising costs and lack of pricing transparency.Growing concern over Medicare Advantage plans delaying and denying doctor-ordered care for seniors.Voter’s view hospitals favorably and consider them among the most essential providers of health care in their communities.Overwhelming support for lawmakers ensuring hospitals have the necessary funding to provide 24/7 care.Political trends for 2024 and into 2025.MORE:Phillip Morris and his firm, LSG. recently conducted a poll on behalf of FAH and found wide support for hospitals and hospital funding among likely voters. The survey also discovered the vast majority are concerned about cuts to Medicare and abuses by Medicare Advantage plans, including denials and delays of care through prior authorization, denied payments for necessary treatments, and network restrictions limiting provider choice.Key findings include:Voters view hospitals favorably and consider them among the most essential providers of health care in their communities.Nearly three-quarters (72%) of likely voters view hospitals favorably.The vast majority (82%) believe the federal government should provide adequate funding to ensure hospitals serving rural and underserved communities remain open.Lawmakers’ positions on hospital funding will affect voters’ actions at the ballot box.Seventy percent of voters would be less likely to vote for a Member of Congress who supported cuts to hospitals that threatened their ability to stay open.An overwhelming majority (89%) would be willing to take action to support policies that would ensure access to hospital care.Voters are concerned about the impact of Medicare Advantage practices on consumers’ access to health care.The vast majority (78%) of voters are concerned about the trend of Medicare Advantage plans delaying or denying access to care for seniors.A majority (56%) of voters believe there should be more regulation and oversight of Medicare Advantage plans.Likely voters blame health insurers most for the lack of transparency in health care costs.You can learn more here.
Improving Care & Lowering Costs: Is CMMI Accomplishing Its Mission?
23:09Chip and Dr. Liz Fowler, Deputy Administrator of CMS and Director of the agency’s Center forMedicare and Medicaid Innovation (CMMI), discuss CMMI’s mission to improve healthoutcomes, overcome the obstacles to health equity, and reduce care costs. They look back onwhat CMMS has accomplished in its first 10 years, what we have learned from thisexperimentation, and the future of care and payment innovation.Topics they examine include:CMMI’s successes over the last decade and what programs have resonated most.Controversial CBO report that says CMMI’s programs have increased federal spending –not lowered it.Performance of CMMI bundled payments and rationale behind a new mandatory bundledpayment program.Goals of the newly announced state-based AHEAD model and how it will interact withother ACO and value-based care programs.Dealing with the challenges created by massive growth in Medicare Advantage.How CMMI is addressing the broad issue of health equity.MORE:Dr. Fowler has the unique role of leading an agency she helped create. From 2008-2010, she wasChief Health Counsel to Senate Finance Committee Chair, Senator Max Baucus (D-MT), whereshe played a critical role in developing the Senate version of the Affordable Care Act. Theframework for the CMMI was embedded in the law – so now, after several roles in the private
30 Miles or 30 Minutes: The Fight to Access to Care in Rural America
15:08In this episode: As we recognize Rural Hospital Week 2023, Chip and Alan Morgan, CEO of the National Rural Health Association, discuss the importance of having medical care 30 miles or 30 minutes away and the battle to maintain patients’ access to vital services in small communities across the country. They also examine the ways lawmakers can throw a lifeline to hospitals struggling to keep their doors open. Topics include: Growing health care workforce shortage in rural areasRural hospital closure crisisImpact so-called site-neutral policies would have on access to careUnintended consequences of the rapid growth of Medicare Advantage Importance of extending government assistance through the Low-Volume Hospital and Medicare Dependent Hospital programsGUEST: Alan Morgan, CEO, National Rural Health AssociationMORE: With more than 30 years experience in health policy at the state and federal level, Alan Morgan is one of the nation’s leading experts on rural health policy.Alan has been CEO of the National Rural Health Association since 2001 and he sat down with Chip to talk about the current state of health care access in small communities across the country, with a focus on hospitals.According to the Sheps Center for Health Care Research at the University of North Carolina, there have been 149 rural hospital closures since 2010 – and COVID only made the situation worse. These facilities are grappling with lower reimbursement rates from programs like Medicare Advantage and chronic underpayment from Medicare and Medicaid.Alan also highlights actions Congress can take to maintain critical hospital care in rural areas across the nation.
Hospital Workforce Crisis: How It Impacts Patient Care & Search for Common Sense Solutions
24:50In this episode: Chip and Dr. Sammie Mosier, SVP &amp; Chief Nurse Executive at HCA Healthcare, discuss the growing health care workforce crisis in health systems – from how it is affecting care at the bedside to developing cutting-edge programs aimed at training the next generation of nurses. Topics they examine include: COVID-19’s lasting impact on nursingUsing innovative care models and virtual nursing to improve patientcare Ways to increase enrollment at nursing schoolsPrioritizing nurse retention and caregiver continuityFuture of nursingGUEST: Dr. Sammie Mosier, SVP &amp; Chief Nurse Executive at HCA HealthcareDr. Mosier started her career at HCA Healthcare in 1996 as a medical-surgical nurse at Frankfort Regional Medical Center in Frankfort, Kentucky and last year she was promoted to the role of Chief Nurse Executive where she oversees approximately 93,000 registered nurses.Her time as a floor nurse has shaped her leadership style and gives her a unique perspective on the issues and opportunities facing the field.In this episode, Dr. Mosier explains the challenges facing the nursing workforce in hospitals as it rebounds after the COVID-19 pandemic and how to use new technology, like AI, to improve patient care.She also highlights programs HCA is using to retain current nurses, while training new caregivers through the Galen School of Nursing, which the company owns and operates.
Patients First: How AI is Improving the Care Continuum & Cutting Costs
21:14In this episode:Chip and Marty Bonick, President and CEO of Ardent Health Services, discuss how cutting-edge technology is reshaping the health care system - by treating patients like consumers, and doing it while improving quality and cutting costs. Topics they examine include:Prioritizing patient centered care and cost containment Embracing disruptors - Using technology to make care more accessible Impact of AI, machine learning on the patient experienceTransforming from a hospital system to a health service organizationUtilizing virtual nursing to mitigate current workforce shortage and support care in different waysGUEST:Marty Bonick, President & CEO, Ardent Health ServicesFAH Board Member, Past ChairMORE: Marty Bonick has been a leader in the health care field for more than 25 years, but when he was recently injured in a bicycle accident – he was transformed into a patient.His experience reshaped the way he views the care continuum and the way Ardent treats patients.Under his guidance, Ardent Health Services is using technology, like AI and virtual nursing, to improve care quality, along with the patient experience.Marty also explains both how these innovations can help by reducing costs for everyone, and the importance of treating patients more like consumers.
Spotlight on Medicaid: Impact on Patients of Enrollment Redeterminations & Work Requirements
28:49Chip and Dr. Lynn Blewett put a spotlight on Medicaid, which is now the largest government-funded health program in the nation – covering more people than even Medicare. Crucial topics they discuss include:The current state of the Medicaid program and where it is headed in the future.Medicaid redetermination has led to more than a million people being disenrolled from the program. What is the redetermination process and why has it risen to such importance this year?Significance of health plans’ role in Medicaid redetermination and the effects it will have on hospitals, as well as patients’ access to care.Implications of work requirements for Medicaid coverage and discussion of results from states where it has been used. Importance of Medicaid Disproportionate Share Hospital Payments (DSH Payments) for patients and providers.Guest:Dr. Lynn Blewett, founding Director of State Health Access Data Assistance Center (SHADAC), Professor at the University of Minnesota, School of Public HealthMore:In this episode, we will look at the Medicaid program, which now covers over 86 million of the most vulnerable Americans - ranging from young mothers and babies to seniors in nursing home care.Currently the largest government-funded health program in the nation, Medicaid has been in the headlines consistently this year as policy makers on state and federal levels debate ways to manage enrollment and bring spending under control.
What’s Next for Health Policy – How Congress Could Impact Patient Care
24:15In this episode: Chip sits down with Wendell Primus, former Senior Policy Advisor on Budget and Health Issues to Speaker Nancy Pelosi, to discuss: The current state of the Affordable Care Act – have the effects met the expectations when the law passed 13 years ago? The lasting impact of recently passed drug reform legislation on Medicare and beneficiaries Many are pushing for health care price transparency – will it be transformative? How insurer consolidation – both vertical and horizontal – will affect the nation’s health care system. Ramifications of Medicare Advantage’s explosive growth - both for patients with increasing coding abuses and overuse of prior authorization and for the Medicare program where predicted savings aren’t being realized. True effects of work requirements on the Medicaid program and its beneficiaries. Tackling the growing health care workforce shortage – especially when it comes to nurses. Guest: Wendell Primus, served for 18-years as Senior Policy Advisor on Budget and Health Issues to Speaker Nancy Pelosi More: We take a deep dive into the current and past state of health care policymaking on Capitol Hill with one of the central players of the last many decades - Wendell Primus. The pair discuss a few of the major health policy accomplishments of recent years as well as a look to the future. Wendell gives his preview on what could be coming as the Republican majority in the House and its Democratic counterpart in the Senate settle in and start to consider legislation. Wendell just wrapped up an unprecedented and impactful career on Capitol Hill serving for 18-years as Senior Policy Advisor on Budget and Health Issues to Speaker Nancy Pelosi – where he played a keystone role in the passage of the Affordable Care Act – and just about every other important piece of health care legislation for the past two decades.
Delayed Care & Bad Outcomes - How Insurers' Use of Prior Authorization Harms Patients w/ Todd Askew, AMA
18:15In this episode:What is prior authorization and how does the process work in the real-world.Startling results of a recent American Medical Association physician survey highlighting the negative impact of prior authorization on patient care:94% of physicians report that prior authorization delayed access to necessary care for patients;89% report prior authorization had a negative impact on patient outcomes – sometimes even leading to death. Effects of additional administrative burden prior authorization places on caregivers and hospitals.Efforts to pushback against insurers and stop the harmful overuse of the prior authorization process. Impact of new CMS rules aimed at reforming prior authorization and what it could mean for patients.Guest:Todd Askew, Senior Vice President of the Advocacy Group for the American Medical Association
Federal Trade Commission’s Growing Impact on Health Care
28:49In this episode:Why non-compete clauses are important in health care setting.How proposed rule from Federal Trade Commission (FTC) banning employers from using non-compete clauses on employees could impact patients’ access to care.The additional burden new non-compete rule could have on tax-paying systems.Effect of FTC’s increased scrutiny on health systems integration.Repercussions of slowing integration on access to hospital care in rural areas.Guest:Dr. Subbu Ramanarayanan chairs NERA’s Health care Antitrust practice and is an adjunct Associate Professor of Competitive Strategy at UCLA Anderson School of management. Dr. Ramanarayanan has extensive experience advising clients on antitrust reviews of proposed mergers and acquisitions before the Federal (FTC and DOJ) and state antitrust agencies across a variety of settings in health care including hospital services, health insurance, physician services, medical devices, and Healthcare IT services. The Federal Trade Commission’s recent activity to end noncompete clauses has potential to cause severe ramifications for health care systems. At the same time, the FTC is taking a dim view of important hospital system integration.Each of these things can have an immediate and powerful impact on the health care landscape. The latest controversial proposed rule – which would ban employers from imposing noncompete clauses on their employees - would make it more difficult for health care systems to staff up while also increasing already high workforce costs --- all potentially effecting access to patient care and available services.