Five Steps to Health in America Post Election Analysis · 2016-11-10 · Five Steps to Health in...
Transcript of Five Steps to Health in America Post Election Analysis · 2016-11-10 · Five Steps to Health in...
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FiveStepstoHealthinAmericaPostElectionAnalysis
JULIAHARTWELL- DREFKE
ADVENTISTHEALTHPOLICYASSOCIATION
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Congratulations!
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AdventistHealthPolicyAssociation(AHPA)•Policyvoicefor5hospitalsystems(84hospitalsin17states&DC)•CreatedSeptember2010•Members:
◦ AdventistHealth(CA,HI,OR,WA)◦ AdventistHealthSystem(FL,GA,TN,NC,IL,KY,KS,WI,TX&CO)◦ AdventistHealthcare(MD,NJ&DC)◦ KetteringHealthNetwork(OH)◦ LomaLindaUniversityHealth(CA)
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AHPAGoals•Analyzetheimpactofproposedfederalpolicy®ulationsonAdventisthospitals•Supportexisting&newfederallegislation,policy,rules&guidelinesthatallowAHPAmemberstofulfilltheirmissionofoutstanding,faith-basedhealthcare
• ProvideGuidanceandsupportonCommunityBenefitandstateandlocalefforts
UnitedVoiceonHealthPolicyIssues
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2016AHPAAdvocacyAgendaPromotePeople&Community- CenteredCare– TheFiveSteps
Not-for-ProfitAccountability
EndofLifeCare/PalliativeCare
WorkforceDevelopment
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“Themostpowerfuldeviceknowntoman:anidea.Asingleideafromthehumanmind;itcanstartagroundswell,aflashpointforamovement,anditcanrewritethefuture.But,anideaispowerlessifitstaysinsideofyou.”– NancyDuarte
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Thishasworked…
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Everyonehastheirpolicypriorities…
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DistinctiveAgenda&Message
BuildontheSeventh-dayAdventistlegacyofprovidingextraordinarywhole-personcareinahealingenvironmentthatencourages
personalandcommunitywellnessandlifestyle– notonlydisease.
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AdvisorSessionsEachSystemhostedanAdvisorSession
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WritingTeams5Writingteamscomposedof3-6members
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ADVENTISTHEALTHPOLICYASSOCIATION(AHPA)
FiveStepstoHealthinAmerica.AHealthPolicyAgendafortheNextPresident&CongressoftheUnitedStates
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FiveStepstoHealthinAmericaStep1:PrioritizeWellnessasaKeyDomesticPolicywithaBroadNationalFocusStep2:ImprovetheCurrentHealthSystemStep3:StrengthenthePublicHealthInfrastructureStep4:MovetoPeopleandCommunity– CenteredCare:IntegratingMind,Body,andSpiritStep5:SupportHealthinAllPolicies
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Dissemination✓Allpresidentialcampaigns✓MembersofCongress&Congressionalcandidates✓ThinkTanks&otherpolicyinfluencingorganizations✓AlliedAssociations✓Leadersofthecommunitiesweserve✓Internal
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Wherearewenow?Uninsured
201441mil
201627mil
19stateshavenotexpandedMedicaid
Premiumsbelowprojectedfor2014– 2016
WillIncreasein2017
MedicarespendingslowedduetoACAdeliverysystemreforms
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WestillhaveworkTheU.S.CentersforDiseaseControlandPreventionnotesthat:
NearlyhalfofallAmericanadultshaveatleastonechronichealthconditionandaquartersufferfromtwoormore.
HalfofU.S.adultsareatriskforheartdiseaseorstroke.
90percentofAmericansingesttoomuchsodium,increasingtheirlikelihoodofhighbloodpressure.
Obesity,whichincreasestheriskofheartdisease,stroke,diabetes,cancerandotherchronicconditions,affectsoneinfivechildrenandmorethanoneinthreeadultsinAmerica.
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SickCaretoHealthCare75%ofourtotalhealthspendinggoestotreatingchronicdiseaseOnly3.1%spentonpreventingdiseaseEffectsoureconomy– 2.5billiondaysofworkedduetochronicillness
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NewPresident– NewCongress
• HouseofRepresentatives– Republican• Senate- Republican• President– DonaldTrump
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TheNextFourYearsUninsured?
Affordability
PublicHealthIssues◦ Zika◦ Opioid◦ MentalHealth
Transparency
Risingprescriptioncosts
PreventionandChronicDisease
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TheNextFourYears-TrumpRepealandReplacetheACA◦ Replacewithwhat?Ryanplan– “ABetterWay”
AssumingRepealwillinclude◦ Pre-existingconditions◦ Insurancemarketplaces&subsidies◦ Medicaidexpansion◦ MedicarePaymentReformslikeVBP
◦ CommunityHealthNeedsAssessment?
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TheNextFourYears-TrumpAllowHealthinsurancepremiums tobetaxdeductible
ExpandHSA’s
FreeMarketPrinciples inHealthCare◦ Insurancesalesacrossstatelines◦ BlockgrantstostatesforMedicaid
Callsforpricetransparencyforallproviders
Removebarrierstomarketentryfordrugproviders/Allow importeddrugs forpersonaluseiftheymeetsafetystandards.
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TheReplace– Ryan’sABetterWayPortableHealthInsurance– RefundableMonthlytaxcreditInsurancesalesacrossstatelinesMedicalliabilityreformProtectpeoplewithPre-existingconditions
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ABetterWaycont..Dependentsup26allowedtostayonparentsplan
ForMedicaidstatescanchooseper-capitaenrollmentorblockgrant
RestoreCHIPto2015rates
StrengthenMedicareAdvantage
RepealIPAB,CMMIandBanonphysician-ownedhospitals
MoveawayfromFeeforService
MatchMedicareeligibilitywithSocialSecurity65to66
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ThingstoconsiderAnewSpeakeroftheHouse?TimingWhowillleadHHSandCMS?
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PrioritizeWellnessasaKeyDomesticPolicywithaBroadNationalFocusConsideration1
Maintaincurrentfederalandstateinvestmentsinpreventionandpublichealth
PreservePreventionFund◦ 2015- 79milliondollarsdivertedfromprevention◦ Willthisexist?
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PrioritizeWellnessasaKeyDomesticPolicywithaBroadNationalFocusConsideration2
Sustaintheparticipationofallfederalagenciesandexpandattentiontohealthwithin
non-healthagencies
Healthinallpolicies
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PrioritizeWellnessasaKeyDomesticPolicywithaBroadNationalFocusConsideration3
Reorientpublicandpoliticalperceptionofdiseasepreventionandwellness
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PrioritizeWellnessasaKeyDomesticPolicywithaBroadNationalFocusConsideration4
EstablishaWhiteHouseOfficeofWellness&Prevention
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Questions?