Join National Journal and a panel of experts for a forum exploring the future of the healthcare delivery model and its impact on Medicare costs.
Today, many people on Medicare suffer from multiple conditions, and the varying needs of these patients are not always met by the current system. At a time of daunting fiscal challenges, the debate surrounding Medicare mostly concerns budget issues. Largely absent from these budget discussions is a close examination of the role the actual model of healthcare delivery will play in improving care and achieving solvency. In order to accommodate modern circumstance, should Washington let go of the "fee-for-service" mentality and instead focus on innovation? Can developing a better healthcare delivery model for patients both improve the quality of healthcare and cut costs? When it comes to Medicare, should Washington shift its focus from budget to structure?
Stuart Guterman is vice president and executive director of the Commonwealth Fund's Commission on a High Performance Health System. The Commission on a High Performance Health System is charged with promoting a high-performing health system that provides all Americans with affordable access to high-quality, safe care while maximizing efficiency in its delivery and administration. Mr. Guterman was director of the Office of Research, Development, and Information at the Centers for Medicare and Medicaid Services from 2002 to 2005. Prior to that, he was a senior analyst at the Congressional Budget Office, a principal research associate in the health policy center at the Urban Institute, and deputy director of the Medicare Payment Advisory Commission (and its predecessor, the Prospective Payment Assessment Commission) from 1988 through 1999. Previously, Mr. Guterman was chief of institutional studies in the Health Care Financing Administration's Office of Research, where he directed the evaluation of the Medicare Prospective Payment System for inpatient hospital services and other intramural and extramural research on hospital payment. He holds an A.B. in Economics from Rutgers College and an M.A. in Economics from Brown University, and did further work toward the Ph.D. in Economics at the State University of New York at Stony Brook.
A medical doctor and economist, Mark McClellan is the director of the Engelberg Center for Health Care Reform at the Brookings Institution. The Engelberg Center studies ways to provide practical solutions for access, quality, and financing challenges facing the U.S. health care system. Dr. McClellan is the former administrator of the Centers for Medicare and Medicaid Services (2004-2006) and the former commissioner of the Food and Drug Administration (2002-2004). He also served as a member of the President’s Council of Economic Advisers and senior director for health care policy at the White House (2001-2002). During the Clinton administration, Dr. McClellan was deputy assistant secretary of the Treasury for economic policy (1998-1999), where he supervised economic analysis and policy development on a range of domestic policy issues.
Prior to entering government service, Dr. McClellan was an associate professor of economics and associate professor of medicine at Stanford University. He directed Stanford’s Program on Health Outcomes Research, served as associate editor of the Journal of Health Economics, and was a co-principal investigator of the Health and Retirement Study, a longitudinal study of the health and economic status of older Americans. Dr. McClellan has twice received the Kenneth J. Arrow Award for outstanding research in health economics.
A graduate of the University of Texas at Austin, Dr. McClellan earned his MPA from the Harvard Kennedy School, his M.D. from the Harvard-MIT Division of Health Sciences and Technology, and his Ph.D. in economics from MIT.
Gary A. Puckrein
Gary A. Puckrein, PhD, is the founder and president of the National Minority Quality Forum. The Forum is a not-for-profit organization dedicated to assuring that high quality healthcare is available for and provided to all populations.
John Rother is President and CEO of the National Coalition on Health Care, America’s oldest and most diverse group working to achieve comprehensive health system change. The Coalition’s membership of more than 80 participating organizations includes medical societies, businesses, unions, health care providers, faith-based associations, pension and health funds, insurers, and groups representing consumers, patients, women, minorities, and persons with disabilities.
Prior to joining the Coalition in 2011, Mr. Rother served as the longtime Executive Vice President for Policy, Strategy, and International Affairs at AARP. There he led the development of AARP’s policy positions and advocacy strategies. Under his leadership, AARP engaged in robust public policy research and analysis, public education, and advocacy on health and retirement issues at the federal, state and international levels. Mr. Rother wrote numerous articles and was a frequent speaker on health, retirement security, the federal budget, and the boomer generation.
From 1981 to 1984, Mr. Rother was Staff Director and Chief Counsel for the U.S. Senate Special Committee on Aging under the direction of Chairman John Heinz (R-PA). From 1977 to 1981 he served as Special Counsel for Labor and Health to U.S. Senator Jacob Javits (R-NY).
Mr. Rother is a graduate of Oberlin College and the University of Pennsylvania Law School. He is a member of the DC Bar, the National Academy of Social Insurance, and the Gerontological Society of America.
Mr. Rother serves on several boards, including the American Board of Internal Medicine Foundation, the National Quality Forum, the Alliance for Health Reform, the Pension Rights Center, and Generations United. He also serves on the MacArthur Foundation’s Aging Society Network and the Institute of Medicine’s National Roundtable on Value and Science-Driven Health Care. He has consistently been named as one of the Most Powerful People in Healthcare.
In 2010 Mr. Rother received the Robert Ball Award for Outstanding Achievements in Social Insurance from the National Academy of Social Insurance for “lifetime advocacy to strengthen Social Security and Medicare.”
The Honorable Kurt Schrader
Congressman Kurt Schrader is currently serving his third term in the United States House of Representatives. He represents Oregon's 5th Congressional District, which includes all of Marion, Polk, Lincoln and Tillamook Counties as well as the bulk of Clackamas and small portions of Multnomah and Benton Counties. Before being elected to Congress Schrader, a farmer and veterinarian for more than thirty years, established and managed the Clackamas County Veterinary Clinic in Oregon City and operated his farm where he grew and sold organic fruit and vegetables.
In 1996, Congressman Schrader was elected to the Oregon State House of Representatives. There he served as a member of the Joint Ways & Means Committee. Schrader was one of five legislators asked by their peers to guide Oregon through the budget crisis of 2001-2002. Schrader was elected to the Oregon State Senate in 2003 and was immediately appointed to chair the Joint Ways & Means Committee. He continued to serve in that capacity until he was elected to U.S. Congress in 2008.
Congressman Schrader attended Cornell University where he received his BA in Government in 1973. He received his veterinary degree from the University of Illinois in 1977.
Congressman Schrader currently serves as a member of the House Committee on Agriculture, House Committee on Small Business and House Budget Committee. Schrader serves as ranking member of the House Committee on Agriculture Subcommittee on Horticulture, Research, Biotechnology and Foreign Agriculture and the House Small Business Subcommittee on Finance and Tax.
Schrader is also the Co-chair for Communications for the Blue Dog Coalition and co-chair of the New Democrat Coalition's Health Care Reform Taskforce.
Dr. Jordan Shlain is a practicing internist and a native of San Francisco. He graduated with honors from UC Berkeley and was accepted to Harvard’s Center for International Development (WorldTeach) to teach high-school chemistry, physics and biology in rural Western Kenya. Upon returning from Africa, he moved to Lucca, Italy where he opened and ran a successful bed and breakfast. Subsequently, he graduated from Georgetown University Medical School and completed his internal medicine residency in San Francisco.
Dr. Shlain is ranked in the Healthspottr’s list of the 100 most important healthcare innovators and actively consults with companies, non‐profits and physician organizations. He founded the Current Health Medical Group in 1997, which operates a full service, office and house-call practice and is actively developing software, HealthLoop (www.healthloop.com), to solve one of the more vexing problems in medicine: how to follow and monitor patients in between visits.
As a pioneer in what is now called Direct Practice medicine, Dr. Shlain has mentored many physicians in the San Francisco Bay Area and regularly lectures on health care economics to Pre-Med students at UC Berkeley. He is the president of the national American Academy of Private Physicians and is actively involved in grass roots innovation and local medical politics. He has served as an assistant clinical professor at UCSF and a board member for the San Francisco Medical Society.
In 2010, he was appointed by the Mayor of San Francisco to sit as a commissioner for the Health Services Systems Board, which is responsible for the allocation of over $700M for the healthcare of over 110,000 San Francisco Employee’s and retirees.
In 2011, he was named to the physician advisory board of Ingenix, a global leader in health IT analytics and services.
Marilyn Werber Serafini
Marilyn Werber Serafini is the Communications Director and Health Policy Advisor for Alliance for Health Reform.
Jordan Shlain, founder of Healthloop, argues that medical liability is deterring healthcare providers from using technology as simple email, which could revolutionize doctor-patient trust and transparency.