 |
| “The optimist in me—and I am an optimist—says that 10 years ago this number (amount invested in SDOH programs) would have been zero probably, or close to it. So the fact that we see many health systems, not just a couple high-profile ones, investing their own funds in upstream social determinants of health work that has nothing to do with healthcare—that’s about jobs or housing or food—is really new and encouraging.” | ||
| -Leora Horwitz, M.D., Associate Professor in the Department of Population Health, New York University Grossman School of Medicine |
| According to a
new study in Health Affairs, SDOH programs accounted for at
least $2.5 billion of spending, the bulk of which focused on
housing insecurity ($1.62 billion) and employment ($1.06
billion). The remainder was spread across areas including
education ($476 million), food security ($294 million), social
and community context ($253 million), and transportation ($32
million). $1.98 billion was committed by hospitals or health
systems in Medicaid expansion states; $79.5 million in
non-expansion states; and $421 million in both (programs in
multiple states). Overall, the industry reports more than $60
billion a year in overall community benefit spending, which
historically has included subsidized care, subsidized teaching,
health fairs and screening and referral programs. Although the
study identified 78 distinct programs involving 917 hospitals,
only 57 of the country’s 626 health systems committed funds to
address social determinants directly. Source: Health Affairs: Quantifying Health Systems’ Investment In Social Determinants Of Health, By Sector, 2017–19 |
|
CEO ratings of major drivers
of health care industry change 1. Shift in care setting: 20% 2. Proactive consumers: 19% 3. Quality-based payment methods: 19% 4. Digital transformation: 17% 5. Shift to Medicare and Medicaid: 16% 6. Workforce challenges: 16% 7. Competition from consumer tech: 15% 8. Private equity investment: 13% 9. Focus on prevention: 11% 10. Consolidation: 8% Source: Findings from the Deloitte 2019 Health Care CEO Perspectives Study |
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Redefining Medicine with special guest Dr. Robert Pearl
Today's episode on Redefining Medicine spotlights
Robert Pearl, MD. Dr. Robert Pearl is the former CEO of The
Permanente Medical Group (1999-2017), the nation’s largest
medical group, and former president of The Mid-Atlantic
Permanente Medical Group (2009-2017). In these roles he led
10,000 physicians, 38,000 staff and was responsible for the
nationally recognized medical care of 5 million Kaiser
Permanente members on the west and east coasts. Named one of
Modern Healthcare’s 50 most influential physician leaders, Pearl
is an advocate for the power of integrated, prepaid,
technologically advanced and physician-led healthcare delivery. |
||
Check out
HealthshareTV, the
home for health care videos |
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Harvard Medical School Professor Advances Healthcare
Innovation Neel Shah, MD, is exploring frontiers of OB-GYN, value-based care, and medical innovation. HealthLeaders, February 12, 2020 Opinion: Health care reform takes a step in the right direction Between the Senate’s impeachment hearings and the chaos surrounding the Democrats’ results from the Iowa caucuses, there’s been little room to hear about much else happening in Washington and across the states. Of course, this is to be expected during a presidential election year, but the drowning-out effect often leaves Americans sifting through a sea of rhetoric to determine what political agendas best align with their own. The Hill, February 11, 2020 Study: 1 In 5 Patients Gets A Surprise Medical Bill After Surgery Two bills up for debate and revision in the House this week aim to stop surprise medical billing — when patients are billed for services their insurance won't cover. New research reveals just how common surprise billing is after an elective surgery, like a knee replacement or hysterectomy. NPR, February 11, 2020 Fact Sheet: Certified Health Care Pricing Tools Americans deserve access to useful, personalized health care price and quality information to help guide their health care decisions. With access to independently certified health care pricing tools that provide real cost and quality information, consumers would find shopping for medical services as comfortable as other retail experiences. ACHP, February 11, 2020 Taking the Pulse: Where Americans Agree on Improving Health Care This report draws on a Public Agenda/USA TODAY/Ipsos Hidden Common Ground nationally representative survey of American adults as well as four focus groups exploring the views and values of the American public on health care, including how much change people think the health care system needs, their goals and priorities for changing it, and their views on various proposals for doing so. Public Agenda, February 5, 2020 Findings from the Deloitte 2019 Health Care CEO Perspectives Study Accelerating change is now a basic feature of the health care industry. Deloitte’s discussions with CEOs across the industry offer insights into drivers of change, priorities, and worries, and how the definition of success is evolving. Deloitte, January 17, 2020 |
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Some San Antonio doctors already reforming
health care system When Dr. Mark Haverkorn opened his medical practice on the North Side just over a year ago, he wanted his business to be different, where the prices are transparent. “We publish our prices on our website and give them out over the phone,” he said. “We try to be as responsive as possible to patient’s financial concerns. We’ve never sued a patient, and we are absolutely against surprise bills.” San Antonio Express-News, February 11, 2020 House panel advances bipartisan surprise billing legislation despite divisions The House Education and Labor Committee on Tuesday approved a bill to protect patients from massive “surprise” medical bills, but not before a vigorous debate that showed the divides within both parties on the issue. The Hill, February 11, 2020 Report finds that drug rebates drive up consumer costs Discounts by pharmaceutical manufacturers to drug middlemen appear to be driving up list prices and ultimately some consumer costs, a new report by a team of researchers at the University of Southern California said. The phenomenon appears to be another symptom of an uncompetitive marketplace, they said. Columbus Dispatch, February 11, 2020 Doctors group breaks from health care industry with support for 'Medicare for All' Almost the entire health care industry is lined up against “Medicare for All.” Hospitals oppose it. Insurance companies oppose it. Drug companies oppose it. But not the American College of Physicians (ACP). That group made waves last month when it broke with other leading health players to endorse Medicare for All, along with an optional government plan, as a way to get to universal coverage. The Hill, February 11, 2020 How some states are taking unusual action to lower prescription drug prices Amid the issue of high prescription drug prices in the United States, “pharmaceutical tourism” is starting to become a new way out: unusual action for access to lower prescription drug prices. Fox News, February 10, 2020 Just how much are health systems spending on social determinants? Kaiser Permanente said it would put $200 million toward initiatives targeting housing insecurity and homelessness. Geisinger is scaling up what it calls its Fresh Food Farmacy program—set up to help patients get healthy foods—with a digital app. And last year, RWJBarnabas Health partnered with Horizon Blue Cross Blue Shield of New Jersey to address social factors of health such as maternal mortality. Fierce Healthcare, February 10, 2020 Feds Slow Down But Don’t Stop Georgia’s Effort To Ditch ACA Marketplace The Trump administration announced Thursday it was putting on hold Georgia’s proposal to significantly alter how that state’s Affordable Care Act insurance marketplace operates but suggested it is eager to help the state get it done. Kaiser Health News, February 7, 2020 |
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