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Jayne Koskinas Ted Giovanis
Foundation for Health and Policy

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The Jayne Koskinas Ted Giovanis Foundation for Health and Policy fosters public discussion around health care policy to benefit the public good.  Through research, white papers and other projects, the Foundation serves as an honest, independent broker of ideas and actions designed to achieve the competing goals of cost reduction, expanding access and improving quality.

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Tuesday, October 11, 2016

Healthy Debate: Top Health Quotes of 2016

Pulled from recent interviews and articles, below is a collection of heath care quotes that well frames where we are in health care and perhaps where we are headed in the future.

Search Tags: Healthy Debate







Wednesday, September 7, 2016

Healthy Debate: The Cheetah and the Hippopotamus

Regulatory agencies need reform too allow flexibility in the regulatory processes. The problem is that the current regulatory processes have had the same type of “animal” in the same positions with the same aversion to being nimble for so long that their thought processes may not be able to change - they have too much muscle memory. To reform these systems may require new personnel with new skill sets and a new way of looking at their respective roles. In short, these regulatory systems need to be more like a Cheetah and less like a Hippo if these functions are to be performed and result in responsive changes to the fast evolving systems.

Search Tags: Healthy Debate , Medicare







Tuesday, August 9, 2016

Healthy Debate: The New Budget Neutral - A CMS License to Steal?

What happens if CMS pockets budget neutral funds (as they have done in the past)? These provisions will inherently become a “license to steal” or budget negative and the agency can do what it wants even if there is a resultant harm to beneficiaries. That’s more than a violation of their mission. It’s a problem.

Search Tags: Medicare , Healthy Debate







Tuesday, July 5, 2016

Healthy Debate: Building an SES adjustment directly into the Medicare Re-Admission Penalty (and VBP more generally) to avoid unintended consequences

Congress is considering legislation to require that CMS take account of socio-economic status (SES) in their readmission penalty calculation. The fact that action is being taken on this issue is to be applauded, as it is unconscionable that CMS has for years ignored the evidence and arguments that socioeconomic status influences readmission rates, and has penalized hospitals that treat a high proportion of patients of low SES. However, this situation also illustrates the problems that occur when legislation is required to make the regulators behave responsibly.







Wednesday, June 1, 2016

Healthy Debate: CMS hypocrisy -- disparity effort vs no SES adjustment

CMS recently launched an interactive map that helps identify disparities and chronic conditions among the Medicare population to better understand the social determinants of health and their effects. Estimates indicate that as much as 80% of disparities are driven by social determinants. Yet, with all its data, analytics, and understanding that social determinants impact health the agency continues to refuse to adjust for these factors by including any social economic status (SES) adjuster in their payment and quality measurement systems.

Search Tags: Healthy Debate , SES







Wednesday, May 11, 2016

Healthy Debate: Using Health Care Data to Accelerate Cures and Treatments

The JKTG Foundation recently joined the Bipartisan Policy Center’s Health Innovation Initiative. Specifically, its effort to explore new policies to expand the use of key health data—also known as real-world evidence. This information could augment and support traditional randomized controlled trials and post-market surveillance efforts, and reduce the time and cost of bringing safe and effective drugs to the market in the United States.

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Monday, April 25, 2016

Healthy Debate: Behavorial Economics Gives Key to Improving Health

How can health policy better influence healthy behaviors? As part of the JKTG-funded Health Policy Dialogue Series, David Asch, M.D., M.B.A., discussed his work in behavioral economics to better understand how patients and physicians make medical decisions.

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Wednesday, March 23, 2016

Healthy Debate: ACA 6th Anniversary - What Now?

Most people save for the unexpected but inevitable expense – a car that won’t start or a water heater that busts. Fewer Americans think to save for unexpected healthcare expenses. One key benefit of the ACA was supposed to keep people out of catastrophic medical debt by providing relatively affordable coverage. With government touting cost savings, what is the true impact on Americans?







Thursday, March 3, 2016

Healthy Debate: Improving Health IT is Fundamental

This week at HIMSS, a diverse group released four recommendations that seem basic, but speak to the complex way health care is delivered. The group is the Partnership for Health IT Patient Safety and they are tackling IT-safety related issues the Partnership for Health IT Patient Safety are tackling: copy and paste, patient identification, and EHR lessons learned.







Wednesday, February 24, 2016

Healthy Debate: Health Policy Dialogue Series Highlights

Because one in every $6 is spent on health care, Darrel J. Haskins, PhD, has always been interested in where those health care dollars go. Among his many areas of expertise, Haskins has taken a close look at what hospitals give back.








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