Posts Tagged ‘Real People Making Real Reform’

You Want Real Health Care Reform? It’s Here

Tuesday, September 28th, 2010

By Evan Falchuk

“We want our employees to spend their time on real issues,” said Charlie Salter, VP of Benefits at ConAgra.  He means it.  Charlie and ConAgra have built their health care benefits around some simple concepts that are yielding impressive results.

How impressive?

Close to flat health care cost trend since 2007.

Charlie’s work is part of a growing trend among America’s most innovative companies:  designing health care benefits in ways that have a real impact on quality and cost.  It’s why I asked Charlie to share the podium with me in Boca Raton this morning.  ConAgra is showing it’s possible to control health care costs by helping people do the right thing.

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Employers: Don’t Get Sick

Friday, February 5th, 2010

By Evan Falchuk

Prevention.  Also, prevention, prevention, prevention, prevention,prevention, prevention,prevention, prevention, prevention, and prevention.  Finally, prevention, prevention, prevention, spam, prevention,prevention, prevention,prevention, prevention,prevention, prevention, prevention, prevention.

I’m overstating it, but this was the major theme of the Employer Health and Human Capital Congress which I attended yesterday outside of Washington, DC.  It’s a major event for benefits professionals and in spite of the pending snowpocalypse, was very well attended.  I moderated a panel about how people need help navigating the health care system.  But the gap between all the talk about prevention and the reality that a lot of people are going to get sick no matter what was the talk of this group.

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Hub Cardiologist Saves Boy

Thursday, December 17th, 2009

By Evan Falchuk

That’s the headline in today’s Boston Herald. It tells the story of young Michael Sanders, who was born in 2007. Michael went home from the hospital but after a few weeks in which he didn’t seem right, his mom, Denise took him to the doctor.  As the Herald reports:

A seemingly routine doctor’s visit brought devastating news: the baby had a fatal, congenital heart defect and just a few weeks to live.

“They said he would never, ever have a normal functioning heart,” his mother recalled, “and they said nothing could be done to fix it.”

The parents, Chris and Denise, got a second opinion from another doctor that supported the original finding. They didn’t have much choice. They brought hospice workers into their home, and started to make arrangements for Michael’s funeral.

At work, Denise had Best Doctors as an employee benefit. She decided to call and see if there was any hope, or if she really had to face the reality of her awful situation. “I was a little afraid to call at first,” she said, “but then I thought, at least it will confirm what I already know.”

After gathering and reviewing Michael’s records, Best Doctors consulted with Dr. Pedro del Nido, chief of cardiac surgery at Boston Children’s Hospital. Dr. del Nido told them very unexpected news – Michael had been misdiagnosed. In fact, he told them, he could fix Michael’s defect and allow him to live a completely normal life. In May 2008, he had the surgery, which went extremely well.

Today, Chris and Denise brought Michael, now almost 3, to visit us at Best Doctors, along with Michael’s big sister Katie. Michael is a very outgoing and playful 2 year-old. He attends pre-school at his family church, where I’m told Michael was greeted as a hero on his first day of school. The community had rallied around young Michael after he was born and during his surgery and recovery, and so his arrival at pre-school was a milestone in the lives of so many people.

Chris and Denise both told me they don’t know why our paths crossed, Best Doctors and the Sanders family. We are honored that they did. And we are grateful that they came to see us today to share their story, and to give us a chance to meet them and their wonderful son. I know I am also thankful for the many people at Best Doctors that helped Michael through his journey, especially Helen Thomas, one of our member advocates.

It is a freezing cold day today in Boston, but not in the offices of Best Doctors.

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Michael, earlier this year in Boston

UPDATE: The local Fox affiliate in Boston is covering this story tonight at 6. And the local NBC affiliate will have it on this evening as well. Video to follow.

UPDATE 2: A complete round-up of media coverage is here.

How the Curve is Already Bending

Tuesday, August 25th, 2009

By Evan Falchuk

Bad news in the paper today: health care costs are expected to rise another 10.5% next year. It’s a serious problem that affects businesses and families across the country.

But the headlines miss something important: the rate of increase has been steadily slowing.

Are we already bending the health care cost curve?

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Oh, Good, a Thoughtful Debate on Health Care

Wednesday, August 5th, 2009

By Evan Falchuk

If you were hoping for a thoughtful discussion on the reform of our health care system, I have bad, bad news.

It turns out that health insurers are “villians.”  Public anger over the massive, mostly unread, reform bills is “manufactured,” and anxiety created by the expectation of unknown changes to people’s most valued benefits is the result of disinformation and “fishy” stories.

It’s like an employee benefits roll-out gone horribly awry.

The protests and disastrous town halls look to me just like the kinds of angry protests that happen all the time when employers make important changes to a benefit plan and the employees either don’t understand them or don’t agree.

Blaming the people who don’t follow what you’re doing and why is a big mistake.  Sure, there is politics.  But health care is a serious, emotional issue, and it should be no surprise that people react badly when they think something to do with it may be taken away.

Dreaming up ideas of how health care ought to work is relatively easy.  But figuring out how to implement it is hard, and there are no short cuts.  The people who actually run benefits plans – employers, benefits consultants, HR professionals – can tell you:  there is no replacement for communication, engagement and respect for opposing views.

The strategy of demonizing those who aren’t on board is a mistake, and is as likely to set back the cause of reform as it is to further inflame an already volatile audience.

I Thought We Were Trying to Save Money?

Friday, July 31st, 2009

By Evan Falchuk

I thought everyone knew the major goal of health care reform is to control spending.

Then why are Democratic leaders proposing changes that would outlaw some of the most successful cost-savings programs in the country?

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Real People, Real Reform: Genzyme Corporation

Wednesday, July 22nd, 2009

By Evan Falchuk

For the next in my continuing series of real people making real change to health care I interviewed Joanne Jones, Senior Director of Benefits & Global Mobility for Genzyme Corporation.  Genzyme is one of the world’s leading pharmaceutical companies, with more than 11,000 employees.  It’s also one of the world’s most innovative companies when it comes to health care and health care benefits.genzyme logo green large

Joanne recently shared her thoughts on how Genzyme helps its employees live healthier lives, and how Genzyme helps their employees and their families improve the quality — and cost — of care.

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We Have No Consensus on Health Care Reform

Thursday, July 16th, 2009

By Evan Falchuk

I belong to a terrific organization that brings together C-level executives, once a month, to discuss issues each of us face.  It’s called Vistage.  One of the subjects we talked about yesterday was health care.  It was like a focus group made up of seasoned, senior executives from many different industries.

The discussion revealed the tremendous divide between what ordinary Americans think about health care and what policy makers in Washington are doing.  It’s a combination that is almost certain to ensure that whatever reform passes may make our problems worse, rather than better.

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  • "Medicine is learned by the bedside and not in the class room. Let not your conception of manifestations of disease come from work heard in the lecture room or read from the book: see and then research, compare and control. But see first."
    - Sir William Osler, MD
    The Father of Modern Medicine
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