Transcripts For CSPAN2 Health Care Innovation 20170531 : vim

Matt taibbi live from noon to 3 p. M. Eastern sunday. Now the ceo of doctor on demand, another telemedicine Industry Leaders find out innovation and technology can transform and improve the u. S. Healthcare system your pepperdie University Hosts this event. Please welcome to the stage john figueroa, ceo of genoa healthcare. What an incredible morning. The inside that doctor emmanuel provided regarding the intent results and the future of the Affordable Care act as well as integrated care. And our industry is moving to a valuebased system was fascinating. Equally as intriguing was a description of our complex and everchanging Healthcare System by our esteemed panel of doctors and healthcare administrators. I trust that their years of practical experience and i trust that they have certainly confirmed the complexity of our Healthcare System. And the speed in which it is changing in america. Im going to take a little bit of a different view on some of seeks comments, consider some of the complexity issues of the day, consistent with things that we need to do to change the system to make it better, but a slight difference from a quality perspective. Today as intricate healthcare represents approximately 18 of our countries gdp. I think it is safe to say that the healthcare as an industry is perhaps the most important part of our economy and growing faster something that was confirmed with all speakers today. Because of this over the past decade weve been building healthcare around the triple lane, a concept that came ten years ago on what we need to do as a society within healthcare to increase and improve healthcare, to increase quality, to decrease cost and to improve the visit and the accessibility for our country. What we learned this morning is that weve made tremendous progress with this initiative, and that the next massive shift will continue to be toward valuebased healthcare. Getting paid for products and services on the basis of how well they achieve the triple lane. After reflecting on what weve heard today, i think you can come away with the few impressions. One is that in this country we have massive issues with both cost and accessibility. Throughout health care. But we dont have those major issues as it relates to quality of health care in america, and thats a little area where i take exception to some of the things that have been said, not only this morning but when you watch the news or when you talk about health care in the general setting, we sometimes lose the focus of the exceptional quality of health care that we have in our country. And it has remained constant from high quality perspective it sometimes that gets politicized and not talked about at all. The fact is that america has the highest Quality Health care in the world, and certainly the best technology to impact positive outcomes. We heard a lot of talk during the Election Campaign of our systems and comparing our systems to sweden. We even heard our system compared to morocco today. No disrespect to sweden or morocco, but in my 26 is an industry i have never heard a patient safe i would like to get this procedure done in morocco. [laughing] never. Granted, a lot of these countries that were talking about through the election process has Health Care Coverage for all citizens. And thats great, but the other thing we dont talk about is thats not free. And for those of you who studied business at a great school of business at pepperdine, or anywhere else, you learn on day one in economics that everything has a cost. In fact, my grandmother who had a ninth grade education always said, nothing is free. Our great system has come at a cost, no doubt. And it is up to us to again continuecontinue to drive qualia lower cost and make it accessible to all. We have always been a caring nation, and the notion that we have allowed people to perish because they did not have insurance is frankly nonsense. And you are both cedarssinai and mayo clinic talk about the fact that a number of the procedures and a number of their care is given at no cost at all to the patient. In fact, with the Affordable Care act they get paid pennies on the dollar are a number of procedures that they do everyday. Most of our hospitals and care centers are not forprofits. In Mental Health, for example, 95 of Community Mental Health Centers, and these places take care of 90 of our countries severely mentally ill, are not forprofits. There are charitable organizations that would never turn away a patient who has no interest. A lot of the people who do those services are here today, and i want to thank you or what you do for our patients and our Health Care System. Granted, sometimes you may not get the highest ranked hospital in the country to take care of you if you dont have insurance, but theres always a place for care in america. This is true before the aca and it is true today. I suspect it will be true when a new Health Care Program is announced in d. C. However, it is also true and very possible that a major procedure bankrupt you in our system, or that in an intrapersonal be taken in during a crisis but cant afford preventive care. Again, this happen before the Affordable Care act and it still happens today. We must continue to strive toward the triple lane as an industry, and we are. Another fallacy is the Large Pharmaceutical Companies are the primary reason for escalating Health Care Costs total pharmaceutical costs in health care represents about 15 of the total costs. Even if drug inflation rates went to 0 , it would not change the overall escalating cost of care. Today, 85 of prescription drugs are generics at an average cost of ten dollars per month per 30 day prescription. Because our Health Care System still operates in silos, there can be a shortsighted emphasis on reducing costs in each silo. And im not advocating that theres nothing that can be done to the pharmaceutical industry, and are plenty of examples where costs are way too high. And when he doesnt industry address those issues but we cant take any of health care one silo at a time. Let me give you an example of what happens when you concentrate specifically on pharmaceutical spending. In the spotlight is focused on, if the spotlight is focus on pharmaceutical spending, and increases in as problematic. Yet spending on pharmaceuticals may need to increase to achieve overall reductions in the total cost of care. For example, inpatient stay on them as you see increase in drug spans. A pbm or an Insurance Company if they see somebody experiencing 96 insurance rates from 20 , they will spend more on pharmaceuticals. What you to look at is the total cost of care. In drug spans, thats going up significantly, it has to reduce the higher medical costs. Recently, we did a study that determine if, in fact, youre putting pharmacies inside these Community Mental Health Centers and youre taking away the ability for them to leave the center and then go get their prescription, severely mentally ill patients will fill their prescription at least 20 of the time. If theres a pharmacy embedded in integrate and a committee Mental Health center, severely mentally ill patients take their meds 96 of the time. Thats what the study from the journal of managed care and special pharmacies set. The net savings for the population of america because a 40 reduction of hospital stay, 18 reduction of er visits, amounted to over 400 million in savings on the basis of 500,000 patients. Now, i do understand the word trillion, like any of us, but i do understand what 400 million and the impact to this Patient Population is. So thats what you want to leave you with, the fact that lets not look at silos, lets continue to Work Together to look for total cost of care and lets make sure that as a society and the Health Care Industry we continue to reduce costs, increase access and improve health. So with that we are going to a bit about technology, and the Technology Impact that is having on quality of care in our system. Todays panel is pretty exciting. We were a lot of talk about telemedicine in earlier conversations today, and in last year symposium it was an entire symposium on data and technology and impact that it is having. Today we have three great panelists and we also have a moderator that comes to us as one of our panelists last year, kathleen grave, who has a history of making sure innovation is impactful. Shes learned that designers and one of the executives of watson with pbm and is currently now part of the Watson Program with the weather channel, revolutionizing what we do with technology. Please welcome kathleen grave. [applause]. And the medical services provided. Is patient Clinical Care delivery through Remote Services Critical Care or Emergency Care that could include diagnose remote for critical conditions between the doctor in the position in the patient or a consulting team. Telemedicine provides longdistance expertise with the specialists that would not be available in remote areas of the world or to a remote province or a remote area of the United States. The Telemedicine Association gives us an early example that the medical care provided of the monitoring of the nasa astronauts and that continues today also used for remote deployment to keep the troops save. With three areas of patient care and Intelligence Solutions those key areas are of medical data radiology imaging that gives the insight that is needed to drive the information for the patient from the details of the data else so Remote Monitoring with congestive Heart Failure one needs to get the regular revivals of hydration of the patient. Clinical consultation is the third in to allow for that to happen more often. The use of electronic Information Telecommunication Technology to support is now common with the Public Health education and administration to include Video Conferencing and the internet is a very common practice with indigene gent Wireless Communications there is no end to those innovations ann b. Will see that come over the next few years as well. To be at the fingertips to transform that patient experienced never before have we had as much at our fingertips to take care of that triangulation so to include telemedicine we have the opportunity to increase access to highperformance system with the point of care and access of all levels and to minimize the patients insurance we have the chance to have Remote Access and out in rural areas it can be specific management with problem need such as Heart Disease or diabetes the pentagon which Care Management program is created. Now available outside the metropolitan area so that when providers graduate they can still provide Remote Access and provide support to those doctors and patients that our remote those who may need frequent visits for Critical Situations consultation and training Care Management with the team of specialists to discuss Case Management for rides an opportunity to have feedback or non Clinical Experts you could contribute to that information based on the environmental nature of the patient now experts can contribute from all facets of their expertise now is my privilege to bring on to the stage as well as their perspectives about the industrys growth in the specific Business Model and telemedicine. The first panelist, and mr. Ferguson and chief executive officer at doctors on demand has Led Companies of all stages of growth from the founder to reach Senior Executive at paypal and also holds the deep commitment to putting customers first a value that resonates with doctors on demand with testing Class Customer experience he helped to transform paypal into the customer focused team and to serve as the chief product officer. Prior to joining paypal he pioneered technology to enable consumers to make payments quickly and easily using a mobile phone and with dawn mining Gaming Development he also worked as general manager helping to develop Management Software with customer payment products as a senior product manager at got to to help service says he also held to manage customers 1. 7 billion in loans and whole say bachelors degree and an m. B. A. From vanderbilt. [applause] our second panelist is currently Vice President and senior Vice President at genoa the tallis psychiatry coming in to the acquisition of his company a city based tellus Psychiatry Company he and his team have built the technology for the company from scratch treating 50,000 patients across the country was the president of Signature Health care and to do Health Care Service companies that he started. These two endeavors have grown from two employees up that over 150 all improving access in in markets. From 2010 through 2012 the director of planning a 150 ben Health System redesign danville a model across three states his career began with mckinsey and company as a analyst for Strategic Initiatives for organizations inside and outside of health care and at the mckenzie hospital institute. Receiving bachelor of science from wharton and a bachelor prince did neuroscience with distinction in the masters of speeeight at wharton and he does not sleep. [laughter] [applause] the last panelist has a 20 your track record of sealock technology and Health Care Services companys translating for the benefit for Health Care Solutions into successful clinical information in his experience enables high a care quality to drive intelligent growth and serve as a catalyst for change at the very advanced heart of his business to work innovatively and collaborative leave to bring the positive and outcome to the patients and families to jointly serve. Prior with Health Care Companies page one of the early leaders in the markets informs advanced ic you care so the strategy to build organizations with advanced ic you care with a staff end infrastructure with a continued innovation at his two Prior Companies they were both named to the 200 best Public Companies to 15 consecutive years he served on the board of directors for a variety of Health Care Companies public and private he earned his m. B. A. From Harvard Business from ann hurst. [applause] welcome to this stage we will get started with a round of introductions of pointed views and perspectives from each panelist. Afternoon. The easiest and fastest way to be a great doctor there the of mobile lab border certified physician in 49 states as soon as arkansas passes some legislation momentarily me start off in the direct Consumer Market with a cash based solution for lack of access to the urgent care and we grew quickly and quickly started to work more partnerships with Large Insurance Companies they humana and United Health care and now they offer a doctor on demand as part of their Health Benefits that has filled our growth and we got into Mental Health with the team of psychologists tend psychiatrist to Work Together with primarycare physicians to help provide this week of Health Care Solutions for those of her part of the benefits offered by the employer or health plan. We are excited about the procedure of telemedicine is exciting for everyone in this room and everyone can benefit. It is not the winnertakeall market place consumers or payers there are so Many Solutions that driving innovation meeting to health plans in the way consumers think about the way they become consumers in the marketplace. Could afternoon. Thanks for inviting us to share our experiences with you. Telepsychiatry poorly focused on an ho