Big health: Consolidation and competition under the Affordable Care Act – Health – AEI

March 1, 2013

Continuing consolidation in the health industry has enabled providers to raise their prices without improving the quality of their services. At an AEI event on Friday, a panel of economists and lawyers discussed the economic and legal causes of the concentration among health care providers and insurers and its pernicious effect on health costs.

Martin Gaynor of Carnegie Mellon explained the existing evidence corroborating rising consolidation, noting that the hospital sector has seen over 1,000 merger and acquisition deals from 1994 to the present. The resulting lack of competition among hospitals and other providers allows those providers to monopolize the market and charge higher prices. These higher prices, Robert Murray of Global Health Payment LLC explained, contribute significantly to growth in health spending.

Health insurance compounds the problem, Barak Richman of Duke University School of Law emphasized. Because most patients have insurance, often financed in part by their employers and the federal government, they are not sensitive to the cost of their care; therefore, their demand for care does not decrease as its cost increases.

Although the absence of competition in the health industry is a long-standing issue, the panelists agreed that the incentives in the accountable care organizations created by the Affordable Care Act may exacerbate the issue by encouraging further consolidation.

All event materials, including videos, are now posted.

via Big health: Consolidation and competition under the Affordable Care Act – Health – AEI.

Market-based reform in the age of Obamacare: Lessons from Utah Gov. Gary Herbert – Health – AEI

January 29, 2013
AEI, Twelfth Floor 
1150 Seventeenth Street, NW 
Washington, DC 20036

About This Event

Utah pioneered its own version of a state health exchange as far back as 2009, well before the Affordable Care Act (ACA) was even enacted. Utah has also sought various types of federal waivers to revise and expand its state Medicaid program.

Last December, the state of Utah essentially challenged federal officials to declare its own implemented version of health exchanges to be fully compliant with the ACA’s statutory requirements. Yet a volley of letters between the secretary of the US Department of Health and Human Services and Utah Gov. Gary Herbert seem to indicate that the situation is still up in the air.

At this luncheon forum, Gov. Herbert will discuss the state of Utah’s exchange, but also place it within the broader context of what should represent innovative and effective state-led health policy reform. He will also outline Utah’s approach to Medicaid reform and the state’s leadership role in promoting market-based, patient-centered health care.

If you are unable to attend, we welcome you to watch the event live on this page. Full video will be posted within 24 hours.

via Market-based reform in the age of Obamacare: Lessons from Utah Gov. Gary Herbert – Health – AEI.

National Health Policy Conference – Events – AcademyHealth

January 27, 2013

National Health Policy Conference

February 4-5, 2013 | Grand Hyatt Washington | Washington, D.C.

via National Health Policy Conference – Events – AcademyHealth.

2013 AMC Conference

January 23, 2013

NCHICA invites you to join your colleagues from academic medical centers (AMCs), teaching hospitals and other large health enterprises for the 9th AMC Conference on Security and Privacy. The conference, scheduled for May 6-8, 2013 at the Friday Center in Chapel Hill, NC, provides an excellent opportunity for security/privacy planners, officers, compliance staff and operational managers to learn how their peers are handling important privacy and security issues such as managing large breaches, research in the Cloud and mobile security threats.

This year’s conference focuses on New Challenges: from Concept to Operations. Each session is led by panelists from AMCs and other large health enterprises across the country. The program features plenary sessions and breakout sessions in three tracks: Compliance & Governance, Research & Education and Security & Privacy. The sessions include time for discussion, and there is ample time to network with peers outside the sessions as well. The registration fee is $499 and includes continental breakfast and breaks all three days with lunch on Monday and Tuesday.

via 2013 AMC Conference.

The Medicaid reform dilemma: What should states do next? – Health – AEI

July 6, 2012

The Medicaid reform dilemma: What should states do next?

Wednesday, July 11, 2012 | 10:30 a.m. – 12:00 p.m.

AEI, Twelfth Floor

1150 Seventeenth Street, NW, Washington, DC 20036

(Two blocks from Farragut North Metro)

Although the U.S. Supreme Court upheld the overall constitutionality of the Affordable Care Act (ACA) on June 28, it ruled that states cannot be compelled to participate in the law’s expansion of Medicaid if they wish to retain only the pre-ACA version of the program in their particular state. 
How will different states respond to this choice as Medicaid begins to increase its income eligibility levels, revise its mandatory benefits and boost federal funding for the program? How will Medicaid programs be financed and what are the best methods for improving the quality of care Medicaid provides to low-income Americans?

A panel will examine the latest Medicaid policy options across the legislative, administrative and judicial fronts. Secretary Gary Alexander of Pennsylvania’s Department of Public Welfare — the architect of the landmark Rhode Island Medicaid waiver — will discuss state-based Medicaid reform through capped entitlements or block grants. Christie Herrera of the Foundation for Government Accountability will review Florida’s pilot program for Medicaid reform and Florida’s request to expand it statewide. James Blumstein of Vanderbilt Law School will explain the legal rationale and future implications of the Supreme Court’s recent finding that the ACA’s mandatory expansion of Medicaid in all states was unconstitutionally coercive. Rep. Bill Cassidy will describe the key elements of his recently introduced Medicaid Accountability and Care Act, which builds upon a per capita federal block grant to states and adds incentives to provide better patient care.

via The Medicaid reform dilemma: What should states do next? – Health – AEI.

Debate on ObamaCare’s individual mandate on display for attorneys

June 5, 2012

The final word on the Obama administration’s signature health care law has yet to be spoken.  As the Supreme Court decision on the constitutionality of the Patient Protection and Affordable Care Act (aka ObamaCare) looms, organizations throughout the nation are lining up speakers and events to present their opinions—whether a pre-decision debate that might sway an undecided justice, or a post-mortem discussion on how the justices got it right or wrong.  Regardless of when the Supreme Court decision is handed down, the June 15 Texas Bar Association debate on the topic, the interchange promises to be both lively and substantive.

David Rivkin, an appellate attorney whom the Wall Street Journal credits with initiating the question of ObamaCare’s constitutionality and who represented the 26 states in the Florida health care lawsuit, will debate Harvard Law professor Einer Elhauge, who has filed amicus briefs asserting the legality of ObamaCare’s individual mandate.  The debate is scheduled for 9:00 am, on Friday, June 15, at the Texas Bar Association’s Annual Conference in Houston.

via Debate on ObamaCare’s individual mandate on display for attorneys.

US Senate Committee on Health, Education, Labor, & Pensions: Hearings – Hearing

May 11, 2012

Full Committee Hearing – Identifying Opportunities for Health Care Delivery System Reform: Lessons from the Front Line


Wednesday, May 16 2012, 10:00 AM


430 Dirksen Senate Office Building

via US Senate Committee on Health, Education, Labor, & Pensions: Hearings – Hearing.

NCHC Forum: “Innovative Private Sector Strategies to Curb Health Costs” | National Coalition on Health Care

May 11, 2012

“Innovative Private Sector Strategies to Curb Health Costs”


Tom Leyden, MBA

Director, Value Partnerships

Blue Cross Blue Shield of Michigan

Larry Boress

President and CEO

Midwest Business Group on Health

Tuesday, May 15th

10 AM – 11:30 AM

Capitol Visitors Center, Room SVC 212-10

America’s health system faces high and rising costs and persistent issues related to quality of care. In an effort to stimulate dialogue around solutions to these challenges, the National Coalition on Health Care has launched its NCHC Forums series to showcase the perspectives of health care innovators and thought leaders.


NCHC’s May Forum features two private sector leaders who have demonstrated that it is possible to drive down health care costs while improving outcomes.


Mr. Leyden will discuss the powerful partnerships that Blue Cross Blue Shield of Michigan has forged with hospitals, physicians’ groups, and individual providers throughout his state. Value Partnerships’ nationally recognized efforts to reduce medical errors, promote the highest-quality evidence-supported care, and implement the patient-centered medical home model have yielded real cost savings by focusing on improving quality and outcomes.


Mr. Boress will discuss employer efforts to confront the rising cost of diabetes, particularly MBGH’s innovative Take Control of Your Health program, which provides employees diagnosed with diabetes with personalized health coaching from specially trained clinical pharmacists. This program, furnished to regional employers in partnership with the Illinois Pharmacists Association, has helped employees  better manage their own health and improve their employers’ bottom line.


As policymakers work to keep federal health care programs on a sustainable footing, private sector initiatives like these can help point the way toward a health system we can all afford.

via NCHC Forum: “Innovative Private Sector Strategies to Curb Health Costs” | National Coalition on Health Care.

Bringing Health Care into the 21st Century – Dupont Circle – Washington DC | DC Linktank

May 7, 2012

DATE / TIME Wednesday, May 9 / 8:30am – 1:00pm


Brookings Institution

1775 Massachusetts Ave, NW, Washington, D.C. 20036


The United States faces many challenges in terms of health care quality, affordability and access. The nation spends almost twice the percentage of its gross domestic product as many European countries on health care, but has outcomes that rank well below those of other developed nations. However, policy ideas and new technologies are emerging to improve innovation, data sharing, and analytics, thereby boosting cost containment and health care delivery and quality.

via Bringing Health Care into the 21st Century – Dupont Circle – Washington DC | DC Linktank.

Where’s the Rest of Me? Integrating Acute and Long-Term Care – Southeast – Washington DC | DC Linktank

May 7, 2012

DATE / TIME Wednesday, May 9 / 8:30am


National Press Club

529 14th St. NW, 13th Floor, Washington, D.C. 20045



Where’s the Rest of Me? Integrating Acute and Long-Term Care

Health care and long-term care for older people and younger persons with disabilities is highly fragmented–and siloed. For this population, Medicare is the main payer for acute care and Medicaid is the main payer for long-term care. Too often the long-term care needs of this population are neglected by medical care providers, and their acute care needs are neglected by long-term care providers. The result is inadequate services that do not meet the needs of this population. At this forum, leading health policy experts will discuss the need to provide care in a more comprehensive fashion. Doing so may reduce acute care expenditures and provide a new source of financing for long-term care.

via Where’s the Rest of Me? Integrating Acute and Long-Term Care – Southeast – Washington DC | DC Linktank.


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