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The New Health Economy

Ground Rules for Leaders
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A 360-degree look at health care politics, policy, providers, and personalization that offers leaders important perspectives to successfully shape US health care after COVID-19 Over the past decade, the health economy has experienced the most dramatic change since the passage of Medicare and Medicaid in 1965. The Affordable Care Act's expansion of Medicaid, demographic-driven Medicare growth, and the digitization of health records have rapidly changed the traditional dynamics of the field-and the pandemic has accelerated this process. Experienced and aspiring health sector leaders must navigate an increasingly complex health care landscape in order to conceive, create, and implement solutions to improve our health care system now and in the future. The New Health Economy provides health professionals with a 360-degree look at the field by exploring four pillars of the health economy: politics, policy, providers, and personalization. Topics covered include the federal government's role as the largest payer and regulator of health care, health care finance and the shift from the fee-for-service model toward value-based care, the increasing consolidation of provider networks, and data-driven personalizations inside and outside of the field. Drawing from interviews with top leaders in the field-including a former CDC director, a former FDA commissioner, and the current CEOs of Pfizer and Johnson & Johnson-this essential guide compares each sector before and during the COVID-19 crisis. These comparisons shed light on how the pandemic has accelerated recent trends in health care and provide leaders with an outline for a strategic path forward. The New Health Economy brings together the best thinking from across the health care sector, providing insight into COVID-19's impact on the health economy and setting the ground rules required to shape a new health care system as we emerge from the pandemic. This valuable resource will benefit CEOs and other leaders in the health economy, from hospitals to provider networks and beyond.
Gary Bisbee Jr. is founder, chairman, and CEO of Think Medium. He has held leadership positions spanning Wall Street, academia, and health policy. Prior to founding Think Medium, Bisbee was cofounder, chairman, and CEO of The Health Management Academy. He holds an MBA in health care and finance from the Wharton School of the University of Pennsylvania and a PhD in chronic disease epidemiology from Yale University. Donald Trigg is the former president of Cerner Corporation, a Fortune 500 supplier of health care information technology. Trigg has almost a decade of experience in Washington, DC, working at the highest levels of presidential politics and in a set of senior policy roles in both the legislative and executive branches. Sanjula Jain is a health economist working with executives of large health systems and health care organizations, including Fortune 500 companies. She is the Chief Research Officer of Trilliant Health and on faculty at the Johns Hopkins School of Medicine. She earned her PhD in health services research and health policy from Emory University.
Foreword by Ron Adner A Note from the Authors Introduction: The U.S. Health Economy Part One: Health Care Politics 1. Background: Health Care Is Fully Political 2. COVID-19 Interviews: Chaos from Testing to Vaccines Julie Gerberding, MD, Former Director, CDC Mark McClellan, MD, PhD, Former FDA Commissioner and Former CMS Administrator Bob Kerrey, Former Governor and Former Senator, Nebraska Alex Gorsky, Chairman and CEO, Johnson & Johnson 3. Lessons for Leaders: Develop Incremental and Bipartisan Agendas Part Two: Health Policy 4. Background: Payment Is Policy 5. COVID-19 Interviews: Flashpoint on Disparities and Misaligned Incentives Rod Hochman, MD, President and CEO, Providence Tom Betlach, Former Director, Arizona Health Care Cost Containment System Nancy-Ann DeParle, Former Deputy Chief of Staff for Policy to President Barack Obama 6. Lessons for Leaders: Anchor on Affordability Part Three: Provider Networks 7. Background: All Health Care Is Local 8. COVID-19 Interviews: The Front Line Battle Steven J. Corwin, MD, President and CEO, NewYork-Presbyterian Wright Lassiter III, President and CEO, Henry Ford Health System Craig Samitt, MD, Former President and CEO, Blue Cross Blue Shield of Minnesota 9. Lessons for Leaders: Embrace the New Middle Part Four: Data-Driven Personalization 10. Background: Individual as Decision Maker 11. COVID-19 Interviews: Focus on the Whole Person Albert Bourla, DVM, PhD, Chairman and CEO, Pfizer Carolyn Witte, Cofounder and CEO, Tia Marcus Osborne, Senior Vice President, Walmart Health 12. Lessons for Leaders: Organize Around the Person Conclusion: A Call to Action Appendix: COVID-19 Timeline Bibliography About the Authors Index
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