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Health Reform & Uncertainty Nationally; Growing our Health Care Industry Locally. A. Hugh Greene, FACHE Baptist Health President and CEO 4 th Annual Caring Community Conference Wednesday, September 15, 2010. Post Reform: A Murky & Uncertain Future. “the Secretary shall…” 1,045 times.
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Health Reform & Uncertainty Nationally;Growing our Health Care Industry Locally A. Hugh Greene, FACHE Baptist Health President and CEO 4th Annual Caring Community Conference Wednesday, September 15, 2010
Post Reform:A Murky & Uncertain Future “the Secretary shall…” 1,045 times
Post Reform:Conclusions & Implications • Momentous and historic legislation • Coverage will be expanded • Better at covering the uninsured than addressing long-term costs
“The most striking thing about Obamacare is not what it does, but what it fails to do. Because the bill does almost nothing to control costs, it was a huge missed opportunity.” ~The Economist March 27, 2010
Post Reform:Conclusions and Implications • Largely keeps onus on employers
“The most reasonable assumption from Main Street is that health care costs will either continue to grow at the same pace as for the last decade – or accelerate. This is a looming disaster for American business.” ~The Economist March 27, 2010
Post Reform:Conclusions & Implications • Much exaggeration and hyperbole
Post Reform:Conclusions & Implications • Key dimension not addressed tort reform
Post Reform:Conclusions & Implications • Changing payment methodologies Brave new world for providers: Reward outcomes, not volume
Post Reform:Conclusions & Implications • Changing payment methodologies Pay for Performance Bundled Payment Accountable Care Organizations (ACOs)
Post Reform:Conclusions & Implications • Integration likely
Physicians Hospitals Specialty Providers Others Integration
Growing Our LocalHealth Care Industry Leveraging Our Assets
Local Health Care Industry Strong and collaborative health care systems
Local Health Care Industry An Opportunity: Health Care Information Center ???