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HEALTH CARE REFORM 2009

HEALTH CARE REFORM 2009. Craig Stern, RPh, PharmD, MBA AMCP, Student Forum June 20, 2009. DRIVERS. “Isms” Globalism Information-ism Consumerism Public vs. Private Health Care The Economy GDP: 5% to 20% by 2050

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HEALTH CARE REFORM 2009

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  1. HEALTH CARE REFORM 2009 Craig Stern, RPh, PharmD, MBA AMCP, Student Forum June 20, 2009

  2. DRIVERS • “Isms” • Globalism • Information-ism • Consumerism • Public vs. Private Health Care • The Economy • GDP: 5% to 20% by 2050 • Healthcare swamps all other agendas, e.g. education, state budgets, household budgets

  3. BUT EPIDEMICS TRUMP ECONOMICS

  4. REALITY • “How can it be that the best health care in the world costs twice as much as the best medical care in the world?” Uwe Reinhardt • Geographic variation • Variation in volume and intensity of services, but no better outcomes

  5. PRESIDENT’S PLAN • Goal: Overhaul Health Care • Fund: Savings From Provider Services • Argument: Fixing Health Care System Leads To: • Increase GNP • Lower unemployment • Save families $2600 by 2020 • Plan • IT: You can’t improve what you don’t measure • Research into what works • Prevention and wellness • Changes in financial incentives to providers

  6. PROVIDER PLANS • Who: Hospitals, MDs, PhRMA, Insurers, Device Makers, Labor • Goal: Reduce Costs! Save $1.7T • Plan: • Improving care for chronic diseases • Streamline administrative tasks • Reduce unnecessary care

  7. PROVIDER PLANS – SPECIFICS • Proposals • Reduce medical errors • Switch to common insurance forms • Improve measures of MD performance • Reduce # of patients readmitted to hospitals • Improve efficiency of drug development • Expand in-home care for patients w/ long-term illness • Curb Overuse – MDs • Caesarean sections • Back-pain management • Antibiotics for sinusitis • Diagnostic imaging

  8. WHAT HAPPENS TO PHARMACY? • More people insured • More care, especially ambulatory care • More prevention, wellness • More drugs! • Warning – Pay attention to the patient and the purchaser. They have the need, and they pay the bills.

  9. PRO PHARMA PHARMACEUTICAL CONSULTANTS, INC. P.O. Box 280130 Northridge, CA 91328-0130 (818) 701-5438 (818) 701-0249 Fax Email: craig.stern@propharmaconsultants.com …or Visit Our Website at: www.propharmaconsultants.com

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