Annually I look again on the interviews I carried out or webinars I reported on and pull out a couple of of the quotes that basically bought me to rethink a few of my assumptions concerning the healthcare system. So here’s a baker’s dozen from 2023 that I hope you can see thought-provoking as nicely. I’m trying ahead to extra attention-grabbing discussions on well being coverage, informatics, and enterprise points in 2024!
“If hospitals and different employers of nurses are actually severe about addressing the drivers of burnout, they actually need to dispense with these concepts of throwing pizza events and doing resiliency trainings, and as an alternative be aware of what nurses say they want, which is manageable and protected workloads.”
— Karen Lasater, Ph.D., R.N., affiliate professor at Penn Nursing
“We have created a system that has a variety of related overhead, a lot of which does not do something for anyone. Take into consideration what number of federal taxpayer {dollars} go to Medicare Benefit advertising. It’s staggering,”
— Sachin Jain, M.D., M.B.A., president and CEO, SCAN Group & Well being Plan
“With points like granular consent……it’s not serving to sufferers and it’s not engendering confidence in EHR techniques, HIEs or the federal authorities that the overwhelming consensus appears to be that that is too onerous. Simply attempt one thing. And a minimum of, be prepared to come back out and say ‘we’re not going to get it proper the primary time. That is difficult, however we all know it is a precedence.’”
— Nichole Sweeney, J.D., in-house normal counsel and chief privateness officer for Maryland-based CRISP Shared Companies
“You possibly can in all probability get everyone in america who actually understands psychological well being parity into a big ballroom. And due to that, you might have a variety of worry and a variety of confusion as to what’s truly concerned…..You’ve bought individuals who say, ‘Lastly, I’ve bought a hammer that I can use to get these insurance coverage firms to do every thing they’re presupposed to do.’ And also you’ve bought the insurance coverage firms saying, ‘Oh, nice, right here comes a hammer, and you continue to have not even instructed me precisely what I have to do.’”
— Shawn Griffin, M.D., CEO of the nonprofit healthcare accreditation group URAC
“If the capital markets and personal fairness specifically and others are pouring all this cash in to attempt to remodel healthcare, in case you do not play that sport, you are going to have your cheese moved with out you being concerned. So an enormous a part of why I feel lots of people work with us and work with different gamers is as a result of they’re making an attempt to determine what the market is telling them. In any company function, all day lengthy you’re like a horse with blinders on. You are making an attempt to be sure you preserve your operation operating. I can say this as a result of I am a former chief of firms, and that was how I ended up in LRV as a result of there have been so many issues taking place once I was at Premier, particularly in AI on the time, that I did not have any visibility into. And I assumed, who might I’m going discuss to, who might I’m going work with that may be a market translator for me? So that you’re making an attempt to take these blind spots away.”
—Keith Figlioli, managing companion at enterprise capital agency LRVHealth
“The doctor teams which are embracing Medicare Benefit are inclined to have a main care perform, the place they’ve the attribution of the lined lives and the place they get to maintain the financial savings from the capitation and the place they will additionally largely management the coding of diagnoses and the administration of the care, whereas hospital techniques which have determined to shun Medicare Benefit are these that do not have a main care base and depend on referrals, the place denials and prior auth actually matter for individuals’s entry to them. So it isn’t but clear whether or not these two diverging paths will go and whether or not one will outlive the opposite. Neither path has been rigorously evaluated up to now and albeit, it’s too early to inform what the implications are for suppliers or sufferers on a big scale.”
— Zirui Tune, M.D., Ph.D., affiliate professor of well being care coverage and drugs within the Division of Well being Care Coverage at Harvard Medical College
“Secretary Mark Ghaly of the California Well being and Human Companies Company did a hearth chat with us in fall of 2021. He is actually been an enormous supporter of this concept of a rising tide raises all boats. That’s definitely not an unusual phrase, however I feel it was actually very acceptable that he used it given how he and the state companies which are underneath him have come collectively to handle the inhabitants as a complete in that public sector multi-payer alignment. They’ve actually achieved that superbly. To me, that is a crucial message for states to listen to, as a result of they’ve the facility. They do not have to attend for the non-public sector. Medicare will get to do it on the federal stage. Medicaid can do it on the state stage. And relying on the state, the general public worker profit program generally is a big extra companion in that, particularly for the states which have massive enrollment in these plans. They’ve the power to drive high quality in a means that is very highly effective. That is the factor that I might say is the best alternative in the case of addressing fairness.”
— Kristine Thurston Toppe, vp of state affairs on the Nationwide Committee for High quality Assurance (NCQA), a healthcare accreditation group
“We created a roadmap over three years in a sure order, as a result of some issues are dependent upon others. I need to do some intelligent issues with knowledge, however I want the info infrastructure first. I need to do some automation with bots, so we have to put within the bots and software program and get individuals educated up on the right way to use it. The evaluation on when to do issues consists of asking: how prepared is the group for the know-how? How mature is the know-how for the use case? How are the customers in getting access to that know-how? If it is one thing that could be a shiny object that excites all of the nerds on the market, however the medical doctors will not be actually concerned with it, I am not going to place that ahead. One good instance is faucet and go. You’re taking your badge and also you faucet it to log in. Emory has not rolled that out but. I am doing that instantly, as a result of I do know from earlier expertise that everyone loves it. It is easy to do. Different issues are far more advanced. By way of home-based care, it’s going to take a variety of logistics so that’s within the out years. But it surely’s nonetheless on the listing.”
— Alistair Erskine, M.D., M.B.A., Emory Well being’s chief data and digital officer
“So long as we’re hospital-centric in all of our processes and approaches to ship provides and assets and labor, it’s very onerous to pivot to a special setting and to really take into consideration that setting as being the cornerstone for care versus considering of the hospital being the cornerstone for care. So it is a massive paradigm shift. I do assume there’s a rising recognition of the feasibility of it and and more and more, the worth of it.”
— Christine Ritchie, M.D., M.S.P.H., professor of drugs at Harvard Medical College
“As soon as we began doing telehealth-only, over 30 p.c of all new sufferers coming into our program had by no means been in an in-person [opioid use disorder] therapy program earlier than. We had been lastly tapping into that invisible 90 p.c that different packages do not serve. And that is simply every thing for making an attempt to actually tackle this public well being disaster.”
— Brian Clear, M.D., Bicycle Well being’s chief medical officer
“Labs have been very sluggish to come back on board, regardless that they’re an actor underneath the information-blocking prohibitions, and it is somewhat campaign of mine to attempt to assist the labs perceive that they should come on board. All of the labs are federally required to share knowledge as we speak, directly, with out particular effort within the kind and format that is been requested they usually’re simply not doing it. If I have to get all of David’s labs from each lab that has seen him within the final 10 years as a result of I need to see his longitudinal lab report, that is not doable as a result of persons are actually breaking the legislation.”
— Steven Lane, M.D., M.P.H, chief medical officer at Well being Gorilla
“A part of the explanation why I got here to the VA from the non-public sector, past feeling honored to have the privilege to take care of our nations Veterans, is that I assumed that the VA can function a beacon of what care and fee fashions ought to be for CMS and the non-public sector. The VA has a tremendous alternative and suppleness to do that. That is why the VA was a pacesetter in telemedicine nicely earlier than the COVID pandemic. What we will successfully reveal may very well be part of conversations on what adjustments ought to occur within the non-public sector. We’re reaching the outcomes and measuring the issues that matter critically to our Veterans and reaching the associated fee avoidance that’s mandatory for long-term sustainability.”
— Cole Zanetti, D.O., M.P.H., the performing director for value-based care within the VHA’s Middle for Care and Cost Innovation (CCPI) and a senior advisor to the VHA Innovation Ecosystem
