TEDMED 2012 — first thoughts

I’m attending TEDMED 2012 in Washington DC and I will try to add thoughts/insights each night.     The goal of TEDMED is awesome — to unlock imagination to inspire innovation.    It brings together folks from all sorts of different disciplines who care about improving the health of our society — an ambitious goal!    Jay Walker, who is now the owner/driver of TEDMED says he wants to build a community and a place for that community to come together.

Even though I’ve only listened to one session so far — I’m already convinced the conference will open my mind to both new ideas and new challenges — which is great.     There was a compelling talk by Rebecca Onie about the genesis of Health Leads — which basically unleashes the capabilities of college kids to support the basic health needs of underserved folks in the health delivery system (getting heat, appropriate food and other basic needs) which are the foundation for healthy living.    It accomplished its goal of being an inspirational talk.

I ran into a number of folks from the industry I already know – -but I also met a bunch of new folks doing interesting things or just trying to learn.   They all want to make a positive difference.   Here is one worth learning about — http://www.artandhealing.org/

The real fight for ‘health reform’

Last week ‘health reform’ was in the news because of the three days of hearings in the Supreme Court.   I believe the Obamacare law raises some very fundamental questions about the scope and role of the Federal government.    I was delighted that the country is finally having a conversation about the core issues raised by the law – a debate that should have happened during the legislative process.

Here are some of my favorite posts:

However, I found this WSJ article detailing the nasty battle between UPMC and Highmark to be way more telling about the future of the health delivery system.   There are many dimensions to the battle over customers, physicians and dollars that are interesting.   One paragraph in the article I found particularly fascinating:  “Early talks between the companies hadn’t gotten far. Highmark has said UPMC initially sought a 40% increase in its hospital rates. Mr. Romoff doesn’t dispute that but says it was a fair boost to make up for inadequate payments under the old pact with Highmark.”    Pricing power matters a lot in the health economy and having a good brand and substantial market share dramatically increases pricing power – which has been UPMC’s strategy.   What is unique about the health marketplace is that there are limited checks and balances to this market power – at either the payer or provider level, because the consumer of the service is not engaged and empowered to ‘shop around’ for value.

My view is – without pervasive price transparency, ubiquitous quality reporting and material economic incentives for consumers to be smart shoppers (where applicable) – ‘health reform’ will unfortunately lead to neither increased ‘value’ in the health economy nor bend the cost curve.

p.s. update — Highmark CEO fired.   Not germane to the discussion — but felt the update necessary.