#MHwomenleaders12_Closing Session: Mary Grealy
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Transcript of #MHwomenleaders12_Closing Session: Mary Grealy
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Mary GrealyPresidentHealthcare Leadership Council
Women Leaders in Healthcare ConferenceAugust 7, 2012
Consensus Building in an Era of Extraordinary Challenge
Mary R. GrealyPresidentHealthcare Leadership Council
WWW.HLC.ORG
Healthcare Leadership Council
• Coalition of leading executives from insurers, hospitals, pharmaceutical manufacturers, medical device manufacturers, other sectors
• Shared vision of innovative, consumer-centered healthcare system defined by quality, affordability, accessibility
Once There Was Just One…
• Women leaders active inHLC decision making:
– Vicky Gregg, BlueCrossBlueShield of Tennessee
– Patricia Hemingway Hall,Health Care Service Corp
– Susan DeVore,Premier healthcare alliance
– Adele Gulfo, Pfizer
– Patricia Simmons, Mayo Clinic
– Christine Jacobs, Theragenics
– Heyward Donigan, ValueOptions
– Colleen Conway-Welch,Vanderbilt University School of Nursing
– Marion McCourt, AstraZeneca
“Scholars find that women, compared with men, tend to excel in consensus-building and certain other skills useful in leadership.”
--Nicholas Kristof, New York Times
“When Women Rule”
Where We Need Consensus
• The direction of health reform– Kaiser July tracking survey: 38%
favorable, 44% unfavorable
• Entitlement reform• Deficit reduction and healthcare• The role of medical innovation
Conflict in the Political World
• Elections may not lend clarity• Presidential race will likely
leave half of U.S. unhappy– CBS/NY Times poll:
Romney 47-46%– Gallup tracking poll:
consistent 1-2% margin• Obama maintains slight lead
in key swing states
A Closely Divided Congress
• U.S. Senate based on current polling: 47 D, 45 R, 8 tossups (6 D seats, 2 R seats)– Neither party will have 60 votes
needed to pass major legislation
• U.S. House based on current polling: 214 R, 172 D, 49 tossups– Analysts: Majority unlikely to
change, but Democrats could tighten margin
Defining Success in Health Reform
• Continuous quality improvement• Vibrant innovation• Eliminating health disparities• Improved cost-effectiveness• Sustainability
Where Do We Focus Our Ideas, Our Voices?
• Implementing health reform– Preserving the best, fixing the
problematic
• Deficit reduction that doesn’t undermine American healthcare– Reforms that add value, not cuts
that hurt quality and access
• Strengthening entitlement programs for the long run– Understanding that the status
quo is not sustainable
The Best of Health Reform
• Addressing the uninsured crisis a historic achievement
• Takes steps in fixing the volume-not-value approachto healthcare– Centers for Medicare and
Medicaid Innovation
• Improved prevention and wellness features
• Closing the Medicare Part D “doughnut hole”
Health Reform Concerns to Address
• Independent Payment Advisory Board (IPAB)– Ax to cut spending with no focus
on value or quality– No accountability to public
• Medicaid expansion– Low reimbursement rates present
access concerns– Will all states participate?
• Taxes, fees and payment cuts– Almost all health sectors take a hit
– Impact on quality, access, innovation?
Deficit Reduction and Health Care
• Healthcare will be a focus of budget cuts• Simpson-Bowles ideas raise concerns
– Global healthcare spending limits– Beefed-up IPAB– Resurrection of the ‘public option’
• Reconcile two goals – spending reductions and improved health outcomes
Private Sector Providing Answers
• Companies in every health sector demonstrating how to improve care, curb costs
• HLC Value, Wellness Compendiums– Providing metric-supported
examples of cost-effectivecare, disease prevention
WWW.HLC.ORG
Medicare Reform
The Problem
• National debt rapidly increasing, burden for future generations
• Aging population requires more healthcare
• Current entitlement structure cannot stand without tax increases, provider & benefit cuts
The Challenge
• Ensure economic growth and jobs today; opportunities for children, grandchildren tomorrow
• Maintain access to healthcare for current, future Medicare beneficiaries
Medicare’s Future
• Projected insolvency date: 2024• Over 10,000 baby boomers
turning 65 each day– Beneficiary population: 45.2 mil
today, 70 mil in 2030
• Medicare 3.6% of GDP today; 6.4% in 2030
• Average baby boomer couple will pay $114,000 in lifetime Medicare payroll taxes– Receive $350,000 in medical care
Some Options on the Table
• Denial (“Keep Medicare as we know it”)
• Provider cuts– $575 billion in Medicare
payment reductions in PPACA
• Let IPAB do it• De facto price controls
Is There a Better Answer?
• HLC Approach:– Inject Medicare with consumer
choice and competition– Private health plans compete
on cost, value• Beneficiaries would have option of
staying in conventional FFS Medicare
– Cost savings generated by competition, not price controlsor government-mandatedpayment cuts
Consensus Building: The Tasks Ahead
• Present compelling visionof innovation-based,accessible healthcare
• Make clear that statusquo cannot stand
• Communicate the answersfound in new private sector approaches
• Build agreement that cost containment, quality improvement are notmutually exclusive
Women Leaders in Healthcare ConferenceAugust 7, 2012
Mary R. GrealyPresidentHealthcare Leadership Council
WWW.HLC.ORG