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Healthcare Reform The Business of Healthcare

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					Healthcare Reform: The
Business of Healthcare
URI COBA Alumni Career Day
October 16, 2009
Kent Fannon (’74)
Brief Background
   Current – Retained Executive Search - Healthcare (Dallas, TX)
   Previous Roles
       CEO – WIN Healthcare (Infertility Benefits Mmgt, Rye Brook, NY)
       CEO - Healthline Management (Physician Staffing, St. Louis, MO)
       CFO & CDO – EmCare (Emergency Medicine, Dallas)
       Planning & Operations Officer – EPIC Healthcare (Hospitals, Dallas)
       Other:
           Retail Start-up
           TV & Radio Broadcasting & Production
           American Airlines, Inc.
   Education
       University of Rhode Island (BS, Accounting, 1974)
       University of Chicago (MBA, Finance & Marketing, 1976)
Healthcare Reform
Terms to Know
Providers
       Doctors, Dentists, Hospitals, Pharma, etc.
           Clinical, Administrative, Regulatory
   Payors
       Medicare (Federal) & Medicaid (Federal & State)
           CMS – Centers for Medicare & Medicaid Services
       Self-Insured Employers
       Insurance Companies
           At-Risk vs. Administrative
           For-Profit and Not-for-Profit
   Patients
Healthcare Reform
Areas of General Agreement
   Provide healthcare coverage to as many people as
    possible
       Affordable and transportable
   Find ways to slow cost growth without sacrificing
    quality
   Emphasize and encourage wellness
   Remove the mystery
       Information Technology
           Pricing, quality
Healthcare Reform
Areas of Disagreement


  Do You Have Dinner Plans?
Flashpoints
   Who Will Be Covered?            Insurance Companies
       Everyone                    Pharmaceutical
       Citizens & Legal             Companies
        Residents
                                    For-profit medicine
   Private vs. Public Plan
                                    “Death Panels”
    Options
                                    States Rights
   Costs
       Current                     Cost-shifting
       Projected                   Medicare cuts
       Deficit                     Medicaid changes
                     Etc., Etc., Etc.
The Business of Healthcare
   Current Estimates
       $2.5 Trillion in US Healthcare Spending
       15.3% of GDP
       $7,600 per resident
   By 2016
       20% of GDP
       $12,783 per person
Management Challenge
   Hospitals and Other Facilities
   Physicians and Other Providers
   Insurance Companies and Other Payors
   The Role of the Federal Government
   The Role of State Governments
   Financing It

				
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posted:10/1/2011
language:English
pages:8