Annually I look again on the interviews I carried out or webinars I reported on and pull out a number 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 will see that thought-provoking as properly. I’m trying ahead to extra fascinating discussions on well being coverage, informatics, and enterprise points in 2024!
“If hospitals and different employers of nurses are actually critical about addressing the drivers of burnout, they really want 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 secure workloads.”
— Karen Lasater, Ph.D., R.N., affiliate professor at Penn Nursing
“We have created a system that has quite a lot 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 isn’t serving to sufferers and it isn’t engendering confidence in EHR methods, 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 sophisticated, however we all know this can be a precedence.’”
— Nichole Sweeney, J.D., in-house normal counsel and chief privateness officer for Maryland-based CRISP Shared Companies
“You might in all probability get everyone in america who actually understands psychological well being parity into a big ballroom. And due to that, you could have quite a lot of worry and quite a lot 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 all the pieces 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 advised 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 particularly and others are pouring all this cash in to attempt to rework healthcare, should 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 believe 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 hold your operation working. 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 occurring once I was at Premier, particularly in AI on the time, that I did not have any visibility into. And I believed, who may I am going discuss to, who may I am going work with that will be a market translator for me? So that you’re making an attempt to take these blind spots away.”
—Keith Figlioli, managing associate at enterprise capital agency LRVHealth
“The doctor teams which might be embracing Medicare Benefit are likely to have a major care operate, the place they’ve the attribution of the coated 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 methods which have determined to shun Medicare Benefit are these that do not have a major care base and depend on referrals, the place denials and prior auth actually matter for folks’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 so far 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 Faculty
“Secretary Mark Ghaly of the California Well being and Human Companies Company did a fireplace 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 actually not an unusual phrase, however I believe it was actually very acceptable that he used it given how he and the state companies which might be beneath him have come collectively to deal with the inhabitants as a complete in that public sector multi-payer alignment. They’ve actually completed that superbly. To me, that is a vital message for states to listen to, as a result of they’ve the ability. They do not have to attend for the personal sector. Medicare will get to do it on the federal degree. Medicaid can do it on the state degree. And relying on the state, the general public worker profit program could be a large extra associate in that, particularly for the states which have huge enrollment in these plans. They’ve the power to drive high quality in a approach that is very highly effective. That is the factor that I might say is the best alternative in terms 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 information, however I want the information infrastructure first. I need to do some automation with bots, so we have to put within the bots and software program and get folks skilled up on the way to use it. The evaluation on when to do issues contains 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 docs aren’t actually considering 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 rather more advanced. By way of home-based care, it will take quite a lot of logistics so that’s within the out years. Nevertheless it’s nonetheless on the checklist.”
— 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 unique setting and to truly take into consideration that setting as being the cornerstone for care versus pondering of the hospital being the cornerstone for care. So this can be a huge 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 medication at Harvard Medical Faculty
“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] remedy program earlier than. We had been lastly tapping into that invisible 90 p.c that different packages do not serve. And that is simply all the pieces for making an attempt to really handle this public well being disaster.”
— Brian Clear, M.D., Bicycle Well being’s chief medical officer
“Labs have been very gradual to come back on board, although they’re an actor beneath the information-blocking prohibitions, and it is a bit 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 information at the moment, immediately, 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 file, that is not doable as a result of individuals are actually breaking the legislation.”
— Steven Lane, M.D., M.P.H, chief medical officer at Well being Gorilla
“A part of the rationale why I got here to the VA from the personal sector, past feeling honored to have the privilege to take care of our nations Veterans, is that I believed that the VA can function a beacon of what care and cost fashions needs to be for CMS and the personal sector. The VA has a tremendous alternative and suppleness to do that. That is why the VA was a pacesetter in telemedicine properly earlier than the COVID pandemic. What we will successfully show might be part of conversations on what adjustments ought to occur within the personal sector. We’re attaining the outcomes and measuring the issues that matter critically to our Veterans and attaining the associated fee avoidance that’s essential for long-term sustainability.”
— Cole Zanetti, D.O., M.P.H., the performing director for value-based care within the VHA’s Heart for Care and Fee Innovation (CCPI) and a senior advisor to the VHA Innovation Ecosystem
