The Physicians Foundation - Organization of State Medical

Report
The Physicians Foundation
Report to OSMAP
June 2013
The Physicians Foundation
Overview
• National non-profit organization formed in 2003
and dedicated to:
– Improving the delivery of healthcare to all patients
– Advancing the work of practicing physicians
– Sustaining the viability of medical practice
• Pursues mission through grantmaking, research,
national surveys and policy studies
– Given more than $28 million in grants
– Conducted three nationwide surveys of physicians
– Graduated over 100 physician leaders from our Academy
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The Physicians Foundation
Signatory Medical Societies
Alaska State Medical Association
California Medical Association
Connecticut State Medical Society
Denton County Medical Society (Texas)
El Paso County Medical Society (Colorado)
Florida Medical Association
Hawaii Medical Society
Louisiana State Medical Society
Medical Association of Georgia
Medical Society of New Jersey
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Medical Society of Northern Virginia
Medical Society of the State of New York
Nebraska Medical Association
New Hampshire Medical Society
North Carolina Medical Society
South Carolina Medical Association
Tennessee Medical Association
Texas Medical Association
Vermont Medical Society
Washington State Medical Association
The Physicians Foundation
Board Members
Louis J. Goodman, PhD, Texas Medical Association
Alan Plummer, MD, Medical Association of Georgia
Walker Ray, MD, Medical Association of Georgia
Robert Seligson, North Carolina Medical Society
Larry Braud, MD, Louisiana State Medical Society
Don Alexander, Tennessee Medical Association
Subhi Ali, MD, Tennessee Medical Association
Karl Altenburger, MD, Florida Medical Association
Todd Atwater, South Carolina Medical Association
James Cross, MD, Aetna, Inc.
Lawrence Downs, Esq., Medical Society of New Jersey
William Guertin, California Medical Association
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The Physicians Foundation
Board Members
Jennifer Hanscom, Washington State Medical Association
Paul Harrington, Vermont Medical Society
Ripley Hollister, MD, El Paso County Medical Society (Colorado)
Sandra Johnson, Nebraska Medical Association
Palmer Jones, New Hampshire Medical Society
Alex Malter, MD, Alaska State Medical Society
Gerald McKenna, MD, Hawaii Medical Association
Gary Price, MD, Connecticut State Medical Society
Philip A. Schuh, Medical Society of the State of New York
Claudia Tellez, Medical Society of Northern Virginia
Joseph Valenti, MD, Denton County Medical Society (Texas)
Timothy Norbeck, Chief Executive Officer
William Mahon, Chief Operating Officer
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The Physicians Foundation
Communications Activities
• 2013 Physician Watch List
– Identified five issues that are likely to have a significant
impact on patients and physicians in 2013, including:
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Uncertainty over healthcare reform
Consolidation means “bigger.” But is bigger better?
12 months to 30 million
Erosion of physician autonomy
Growing administrative burdens
The Physicians Foundation
Communications Activities
• 2013 Physician Watch List Video
– Hosted on dedicated Foundation YouTube channel
– Includes research / commentary from Board members on
major challenges facing physicians
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The Physicians Foundation
Communications Activities
• Media Outreach
– Published op-ed on healthcare
cost drivers on Forbes.com
– Conducted D.C. media tour
• Met with reporters from Bloomberg,
Politico, Modern Healthcare, Kaiser
Health News, and American Medical
News
• Shared physician perspective on
significant health policy / marketplace
issues affecting doctors and patients
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The Physicians Foundation
Communications Activities
• Media Coverage
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The Physicians Foundation
Research Activities
• Healthcare Highway II
– Prepared by Bostrom and
Old Creekside Consulting
– Third installment in series of
comprehensive research reports
regarding ongoing regulatory
changes affecting private practice
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The Physicians Foundation
Research Activities
• Healthcare Highway II
– Provides overview of ACA implementation and physicianfocused policies, including:
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Medicare physician fee schedule and the sustainable growth rate
Value-based payments and quality
ACO growth and Medicare Shared Savings Program
Health insurance market reforms
Medicaid program expansions
– Also highlights various challenges related to federal
budget, debt ceiling, healthcare entitlement programs and
federal tax policies
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The Physicians Foundation
Research Activities
• A Blueprint for a More
Effective, PhysicianDirected Health System
– Authored by Jeff Goldsmith, Ph.D
– Offers influencers and providers
a different perspective on ways
to strengthen U.S. healthcare
system for physicians and
patients
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The Physicians Foundation
Research Activities
• A Blueprint for a More
Effective, Physician-Directed
Health System
– A “redesign” of the U.S. healthcare system
is needed based on key principles,
including:
• Offer patients multiple choices in
relationships/clinical solutions
• Consolidate and simplify payment transactions
• Strengthen the patient-physician relationship
• Improve teamwork and continuity by making
payments on a bundled basis for complete
solutions to medical problems
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The Physicians Foundation
Research Activities
• The Unintended
Consequences of
Regulation
– Authored by Fred Hyde, MD
– Explains how federal initiatives
are having a corrosive effect on
physicians and their practice of
medicine
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The Physicians Foundation
Research Activities
• The Unintended
Consequences of Regulation
– Identified Top 10 regulatory “irritants”
driving physicians out of independent
medical practice, including:
• Meaningless Work – Federal reporting
requirements add to physician’s work without
direct benefit to patient
• Data is replacing information – Under ICD-10,
there are now more than 68,000 regulatory
codes compared to 13,000 codes previously
• Comparative effectiveness research –
Recommendations from groups such as IPAB and
PCORI can be ineffective and confusing
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The Physicians Foundation
Research Activities
• Scope of Practice Report
– Authored by Stephen Isaacs
and Paul Jellinek
– Examines growing trend
toward expanding scope of
practice for non-physician
providers
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The Physicians Foundation
Research Activities
• Scope of Practice Report
– Multiple factors are
contributing to trend,
including:
• Payers and large delivery systems
trying to contain / reduce rising
healthcare costs
• Growing patient access problems
related to physician shortages
• Demand for mid-level providers by
physicians seeking to sustain
medical practices
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The Physicians Foundation
Grantmaking Activities
• Grantmaking promotions
– NY / NJ Hurricane Sandy grant
• Provided $700,000 to assist doctors in New York
and New Jersey with their rebuilding efforts
following the devastation
• Collaborated and coordinated media efforts with
MSNJ and MSSNY
– Physician Leadership grants
• Awarded more than $1.5 million
• 17 grants aim to create resources / programs to
train physicians and medical professionals in
leadership, business management, communication
and interdisciplinary collaboration
• State Medical Society President’s Leadership
Academy at Kellogg School of Management
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The Physicians Foundation
Grantmaking Activities
• Leadership grant examples:
– Awarded $338,135 to Institute for Medical Quality (IMQ)
to expand physician leadership program to Texas and
Washington, D.C.
– Awarded $75,000 to North Carolina Medical Society
Foundation to develop the Kanof Institute for Physician
Leadership
– Awarded $75,000 to The Daniel Hanley Center for Health
Leadership (Maine) to expand physician leadership
education in other states
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The Physicians Foundation
Works in Progress
• Ongoing physician workforce
simulation with University of North
Carolina at Chapel Hill due in late
2013
• Launch of Foundation social media /
digital communication channels
• Upcoming webinars:
– Medical Society Communications
Directors webinar
– Medical practice innovation webinar
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Questions or Comments?
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