|
2006
Eighth Annual SIH/SIU Health Policy Institute
Consumer-Driven Health Care: Legal and Policy Implications (May 19,
2006)
Consumer-Driven Health Care: Legal and Policy Implications
Over the past half century, fee-for-service medicine, comprehensive
health planning, and managed care each have failed to provide the
American public with fair and convenient access to high quality,
affordable health care. A new approach to health care
financing—consumer-driven health care—encourages consumers to act as
prudent, value-conscious purchasers of health services, rather than
relying on government, employers, insurers, or managed care
organizations to make purchasing decisions for them. Under
consumer-driven health care, incentives for individual
responsibility for controlling health care costs is provided by a
combination of relatively low-premium, high-deductible insurance
coupled with the creation of Health Savings Accounts to protect
against catastrophic expenses. While this approach shows great
promise, it also holds substantial risk. Join us as leading national
experts explicate the concept of consumer-driven health care and the
likely legal, ethical, financial, and social consequences of
implementing the concept on a widespread basis.
Program objectives
At the conclusion of this program, participants will be able to:
1. Identify the historical context and main components of the
concept of consumer-driven
health care.
2. Critically evaluate the social and political arguments in favor
of and opposed to widespread development and dissemination of
consumer-driven health plans.
3. Understand the likely legal and ethical ramifications of
widespread adoption of consumer-driven health care.
4. Compare the virtues and flaws of consumer-driven health care to
those of possible future alternative approaches to health care
financing in the United States.
Speakers:
Sara R. Collins, Ph.D., Senior
Program Officer, Future of Health Insurance
The Commonwealth Fund, New York, New York
Presentation: The Health and Financial Implications of
Consumer-Driven Health Plans
Sara R. Collins, Ph.D., Senior Program Officer, Future of Health
Insurance
The Commonwealth Fund, New York, New York
As the senior program officer for the Program on the Future of
Health Insurance at The Commonwealth Fund, Collins is an economist
whose responsibilities include survey development, research and
policy analysis, and program development and management. Before
joining the Fund, she was as an associate director/senior research
associate at the New York Academy of Medicine, Division of Health
and Science Policy; an associate editor at U.S. News & World Report
where she wrote articles on economics and health care; and a senior
health policy analyst in the New York City Office of the Public
Advocate.
The Health and Financial Implications of Consumer-Driven Health
Plans
Presented by Sara R. Collins, Ph.D.
Consumer-driven health plans have gained currency among employers as
a strategy to reduce premiums and promote cost-conscious health
behavior on the part of employees. What effect do these plans have
on the use of health care services and out-of-pocket costs? Data
from the EBRI/Commonwealth Fund Consumerism in Health Care Survey,
2005 and the Commonwealth Fund Biennial Health Insurance Survey of
2005 will help us examine the proliferation and implications of
these plans.
John C. Goodman, Ph.D., President
and CEO
National Center for Policy Analysis, Dallas, Texas
Presentation: Consumer-Driven Health Care: Opportunities and
Obstacles
John C.
Goodman, Ph.D., President and CEO
National Center for Policy Analysis, Dallas, Texas
Goodman is the president and founder of the National Center for
Policy Analysis, a nonprofit nonpartisan research organization
dedicated to providing private-sector solutions to public policy
problems. He is the author of eight books including the landmark
Patient Power: Solving America’s Health Care Crisis, Lives at Risk,
and Economics of Public Policy. Tagged the “Father of Health Savings
Accounts” by the National Journal and The Wall Street Journal for
his pioneering research in consumer-driven health care, his articles
also have been published in USA Today, Investor’s Business Daily,
and the Los Angeles Times. He has appeared on C-Span, CNNfn, MSNBC,
CNBC, the News Hour with Jim Lehrer and the Fox News Channel.
Consumer-Driven Health Care: Opportunities and Obstacles
Presented by John C. Goodman, Ph.D.
Virtually every problem in our health care system is the direct
consequence of the way we pay for care, especially the way we pay
doctors. These systemic problems will not be solved unless we
establish a radically new payment approach. We will discuss the
advantages of Health Savings Accounts and the future of health care
financing.
Regina E. Herzlinger, Ph.D.,
Nancy R. McPherson Professor of Business Administration Chair
Harvard Business School
Presentation: Consumer-Driven Health Care: The Impact on Users,
Payers, and Providers
|
| |
Regina E. Herzlinger, Ph.D., Nancy R. McPherson Professor of Business
Administration Chair
Herzlinger, the Nancy R. McPherson Professor of Business
Administration Chair at the Harvard Business School, was the first
woman to be tenured and chaired at the School. The two-time Hamilton
Book of the Year award-winner is the author of Effective Oversight:
The Four by Four Report: A Practical Guide for Nonprofit Managers
and Board Members, Consumer-Driven Health Care, Financial Accounting
and Management Control of Nonprofit Organizations, and the
best-selling Market-Driven Health Care. Her research has been
profiled in Business Week, The Economist, Forbes, and Fortune and
has been recognized for excellence by the American College of
Healthcare Executives. Managed Healthcare named her one of health
care's top ten thinkers.
Consumer-Driven Health Care: The Impact on Users, Payers, and
Providers
Presented by Regina E. Herzlinger, Ph.D., Keynote Speaker
The largest service industry in the United States is undergoing a
massive transformation that will release both providers and
consumers from the strictures of managed care. How will this
transformation affect users, payers, and providers of health care?
Arnold J. Rosoff, J.D., Professor of Legal
Studies
Wharton School, University of Pennsylvania
Presentation: Consumer-Driven Health Care: Assessing the Bottom Line
|
Arnold J. Rosoff, J.D., Professor of Legal Studies
Wharton School, University of Pennsylvania
Rosoff is a professor of Legal Studies and Health Care Systems at the
Wharton School, University of Pennsylvania, a Senior Fellow with the
university’s Leonard Davis Institute of Health Economics, and a faculty
member in the Penn Medical School’s Public Health Program. He has consulted
for numerous private and governmental entities on health law matters, with
an emphasis on HMOs and other prepaid health and dental plans. He is deputy
editor of the Journal of Legal Medicine, a Fellow of the American College of
Legal Medicine, and a member of the editorial board of the Journal of Law,
Medicine and Ethics.
Consumer-Driven Health Care: Assessing the Bottom Line
Presented by Arnold J. Rosoff, J.D.
After hearing the hype and the testimonials, the potentials and the
pitfalls, what conclusions can we draw about consumer-driven health care
plans? Will they cure our nation’s woes? We will assess the impact of
consumers taking responsibility for their health care plans, identify the
potential winners and losers in the drive to streamline our health care
system, and discuss what conditions must be present for the benefits of
consumer-driven health care to be realized and sustained.
Todd Sloane
Modern Healthcare magazine, Chicago
Presentation: Consumer Driven, But Nobody Has the Rules of the Road
Todd Sloane
Modern Healthcare magazine, Chicago
Sloane is the assistant managing editor of Modern Healthcare magazine, the
country's leading healthcare business news weekly. He has been the copy desk
chief for Modern Healthcare, the managing news editor for City & State, the
managing and political editors for the Pioneer Press, and an adjunct
professor of government journalism at Columbia College, Chicago The
recipient of the 2005 Jesse H. Neal National Business Journalism Award and
two Peter Lisagor Awards from the Chicago Headline Club, Sloane is also the
author of a Gonzalez of Texas: A Congressman of the People, a biography of
the late Texas congressman Henry B. Gonzalez.
Consumer Driven, But Nobody Has the Rules of the Road
Presented by Todd Sloane
We will take a look at real world problems in giving consumers the
information they need to make rational choices of providers and treatment
options under new forms of health insurance.
|
