Transcript HEALTH CARE REFORM 2009 - Pro Pharma Pharmaceutical

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
– Healthcare swamps all other agendas, e.g.
education, state budgets, household
budgets
BUT EPIDEMICS TRUMP
ECONOMICS
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
PRESIDENT’S PLAN
 Goal: Overhaul Health Care
 Fund: Savings From Provider Services
 Argument: Fixing Health Care System Leads
To:
o Increase GNP
o Lower unemployment
o Save families $2600 by 2020
 Plan
o
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IT: You can’t improve what you don’t measure
Research into what works
Prevention and wellness
Changes in financial incentives to providers
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
PROVIDER PLANS – SPECIFICS
 Proposals
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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
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Caesarean sections
Back-pain management
Antibiotics for sinusitis
Diagnostic imaging
WHAT HAPPENS TO
PHARMACY?
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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.
PRO PHARMA
PHARMACEUTICAL CONSULTANTS, INC.
P.O. Box 280130
Northridge, CA 91328-0130
(818) 701-5438
(818) 701-0249 Fax
Email: [email protected]
…or Visit Our Website at:
www.propharmaconsultants.com