Extreme Makeover, Healthcare Edition: Navigating the Changes
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Transcript of Extreme Makeover, Healthcare Edition: Navigating the Changes
2010 Medical Professional 2010 Medical Professional Liability SymposiumLiability Symposium
Chicago, IL ~ March 18 & 19, 2010
Extreme Makeover, Healthcare Extreme Makeover, Healthcare Edition: Navigating the ChangesEdition: Navigating the Changes
Extreme Makeover, Extreme Makeover, Healthcare Edition: Healthcare Edition:
Navigating the ChangesNavigating the ChangesModerator:
Mary S. Botkin, ARM, Managing Director, National Health Care Practice Leader, Willis North America
Panelists:
Matthew Dolan, CPCU, President, IronHealth
Michelle Hoppes, RN, MS, President and CEO, Patient Safety and Risk Solutions, ASHRM
James D. Hurley, ACAS, MAAA, Consulting Actuary, Towers Watson
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Session Objective
To provide a high level overview of macro issues currently impacting, or that will impact professionals serving the needs of healthcare professionals. The obvious hot topic will be a final reform bill and its potential implications for all of us.
2010 Medical Professional 2010 Medical Professional Liability SymposiumLiability Symposium
Scope of DiscussionScope of Discussion
• Current Health Care Reform Status • New Sources and Related Issues for
Health Care Provider Revenue • New Risk related to New Revenue • Privacy, Fraud and Abuse, Qui Tam –
What is the Financial Burden? • Tort Status• Predictions by the Panelists
A Funny Thing Happened A Funny Thing Happened on the Way to the Forumon the Way to the Forum
- We thought there would be a Reform Bill by this time
-Massachusetts Election for the Senate Position Changed Everything
- Now What? - Panel Views
-What happens this year
-Predictions
-Q&A
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Risk Management Vision
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Risk Management and Loss Risk Management and Loss ForecastingForecasting
Provider Predictions
Medical homes-accountable organizations
Increase in physician employment
Shortages severe
Emerging IssuesExpanding access to coverage
Avoidable re-admissions
Cyber liability
New Revenue-New Risk
HIT-all digital GenomicsComparative effectiveness research-EBM
Forecasting Throughput Never eventsEconomic constraints
PositivesClinical outcomes
Value based purchasing
Data to drive action
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Actuarial View
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• General approach of reform market reforms, individual mandate,
subsidies, creation of exchanges, Medicaid expansion, employer involvement
• House, Senate or “Door No. 3”? . . . but something!
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Debate: healthcare versus economy cost versus benefit cost containment/quality new plans anti-trust
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Insurance Company View
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Politics, Economics, Marketplace Dynamics and Healthcare Liability
Sweeping reform becomes incremental change Health care providers face intense economic
pressure The liability marketplace remains competitive The value of verdicts and settlements increase
What Happens Now and Predictions for the Not-So Distant Future