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Emerging Health Care Market Trends: Insights from Communities
Monday, Dec. 10, 2001
With the retreat from tightly managed care in full swing and health care costs sharply on the rise, policy makers again will face tough trade-offs over access, costs and quality of care. Add a weakening economy to the mix, and the outlook for American health care—often lauded as the finest in the world—seems bleak at best. This conference promises to offer real-world insights about emerging local market trends that policy makers should have on their radar screens as they grapple with these tradeoffs
The conference will bring together HSC researchers and local and national experts to explore trends identified on HSC's recent site visits, including how health plans and employers are responding to rising costs, providers' flight from risk contracting, resurgence of the medical arms race, resilience of the safety net and interactions between local markets and Medicare+Choice.
HSC visits 12 nationally representative communities every two years to track how the health system is changing. The communities include: Boston; Cleveland; Indianapolis; Lansing, Mich.; Little Rock, Ark.; Greenville, S.C.; Miami; northern New Jersey; Orange County, Calif.; Phoenix; Seattle; and Syracuse, N.Y.
Paul B. Ginsburg, HSC President, and Cara S. Lesser, HSC Director of Site Visits
Managing Care and Costs: Perspectives from Plans and Employers
As managed care cost-containment efforts decline, plans are reducing benefits and shifting costs to consumers.
Employers led the charge into managed care but then demanded changes that weakened its hold on costs and quality, leaving them in a bind as health care costs increase and labor markets slacken.
Providers' Response to the Retreat from Managed Care
Burned by financial losses, some providers are abandoning risk contracting altogether, while others now are sharing risk with health plans.
Instead of competing on price, hospitals again are competing over specialty physicians, services and facilities, prompting a new medical arms race.
Keynote Speaker: Janet M. Corrigan, Board on Health Care Services, Institute of Medicine, National Academy of Sciences
Effects of Market Change on the Safety Net
Despite dire predictions and some notable exceptions, the nation's overall safety net has expanded in recent years and stabilized financially, but new pressures are looming.
Medicare+Choice and Local Markets
Recent turmoil in Medicare+Choice has demonstrated the complexity of relying on private organizations and local markets.
Panels moderated by Paul Ginsburg and HSC Vice President Len Nichols