Leading Innovation
02/23/23 • 20 min
Meet Elizabeth Fowler:
Dr. Elizabeth Fowler is Deputy Administrator and Director of the Center for Medicare and Medicaid Innovation at CMS. Dr. Fowler previously served as Executive Vice President of programs at The Commonwealth Fund and Vice President for Global Health Policy at Johnson & Johnson. Before that, she was special assistant to President Obama on health care and economic policy at the National Economic Council. From 2008 to 2010, she was Chief Health Counsel to Senate Finance Committee Chair, Senator Max Baucus (D-MT), where she played a critical role developing the Senate version of the Affordable Care Act. She also played a key role drafting the 2003 Medicare Prescription Drug, Improvement and Modernization Act (MMA). Dr. Fowler has over 25 years of experience in health policy and health services research. She earned a bachelor’s degree from the University of Pennsylvania, a Ph.D. from the Johns Hopkins Bloomberg School of Public Health, and a law degree (J.D.) from the University of Minnesota. She is admitted to the bar in Maryland, the District of Columbia, and the U.S. Supreme Court. Dr. Fowler is a Fellow of the inaugural class of the Aspen Health Innovators Fellowship and was elected to the National Academy of Medicine in 2022.
Key Insights:
Dr. Fowler is committed to the goal of reducing healthcare spending on a net basis into the future.
Efficiency. Part of the ACA passed in 2010, the CMS Innovation Center aims to reduce barriers to care delivery, making healthcare more affordable and efficient.
Long Term Plans. Dr. Fowler suggests that changing our healthcare system for the better is a project of immense scope. Prepare to measure progress on a scale of decades.
Realism and Risk. Value-based care remains the goal, but Dr. Fowler understands that many organizations still face challenges that prevent them from adopting value models.
This episode was made possible by our partnership with Edwards Lifesciences.
Relevant Links:
Meet Elizabeth Fowler:
Dr. Elizabeth Fowler is Deputy Administrator and Director of the Center for Medicare and Medicaid Innovation at CMS. Dr. Fowler previously served as Executive Vice President of programs at The Commonwealth Fund and Vice President for Global Health Policy at Johnson & Johnson. Before that, she was special assistant to President Obama on health care and economic policy at the National Economic Council. From 2008 to 2010, she was Chief Health Counsel to Senate Finance Committee Chair, Senator Max Baucus (D-MT), where she played a critical role developing the Senate version of the Affordable Care Act. She also played a key role drafting the 2003 Medicare Prescription Drug, Improvement and Modernization Act (MMA). Dr. Fowler has over 25 years of experience in health policy and health services research. She earned a bachelor’s degree from the University of Pennsylvania, a Ph.D. from the Johns Hopkins Bloomberg School of Public Health, and a law degree (J.D.) from the University of Minnesota. She is admitted to the bar in Maryland, the District of Columbia, and the U.S. Supreme Court. Dr. Fowler is a Fellow of the inaugural class of the Aspen Health Innovators Fellowship and was elected to the National Academy of Medicine in 2022.
Key Insights:
Dr. Fowler is committed to the goal of reducing healthcare spending on a net basis into the future.
Efficiency. Part of the ACA passed in 2010, the CMS Innovation Center aims to reduce barriers to care delivery, making healthcare more affordable and efficient.
Long Term Plans. Dr. Fowler suggests that changing our healthcare system for the better is a project of immense scope. Prepare to measure progress on a scale of decades.
Realism and Risk. Value-based care remains the goal, but Dr. Fowler understands that many organizations still face challenges that prevent them from adopting value models.
This episode was made possible by our partnership with Edwards Lifesciences.
Relevant Links:
Previous Episode
Bridging the Payer-Provider Gap
Meet Steve Glass:
Steve Glass is CEO of Medical Mutual and a member of the company’s board of directors. An experienced healthcare executive, Steve joined the Cleveland Clinic in 2002 and was named the organization’s CFO in 2005. In that role, he was responsible for the overall financial operations of the Cleveland Clinic and its subsidiaries worldwide. Mr. Glass earned a Bachelor of Science degree in Accounting from Towson University in Maryland and is a Certified Public Accountant. He is on the board of directors for the Greater Cleveland Partnership, as well as a member of the American Institute of Certified Accountants, Ohio Society of Certified Public Accountants and Healthcare Financial Management Association.
Key Insights:
Steve Glass believes that providers and payers can work together to minimize friction in healthcare.
The CEO Role. Stakeholders inside and outside of the company look to the CEO to be the voice of the organization, and establishing trust is key.
Managing Risk. Insurers understand the benefit of moving to value-based care, but it’s important to monitor and manage financial risk as health systems move in that direction.
A Capitalist Society. Steve remarks, “If somebody’s coming into your market, it’s because they see an opportunity.” Providers and Payers need to innovate to meet the challenge.
This episode was made possible by our partnership with Citi.
Relevant Links:
Next Episode
An Agent of Change
Meet Richard Pollack
Rick Pollack is president and CEO of the American Hospital Association (AHA), the nation’s largest hospital and health care system membership organization with nearly 5,000 member hospitals, health care systems, networks, and other providers of care. Serving as the AHA’s top leader since 2015, Rick is widely recognized for his strong, effective advocacy and leadership on behalf of our nation’s hospitals, the patients and communities they serve, and the health care professionals those organizations support. During the height of the COVID-19 pandemic, Rick built a coalition including the American Medical Association, the American Nurses Association, state and regional hospital associations, and other leading health organizations to support efforts in following public health guidelines, promoting vaccination, with a focus on vulnerable communities, and successfully obtaining the financial resources and regulatory flexibility to keep our hospitals open to care for their patients and communities during the most challenging public health crisis of our time.
Key Insights:
Mr. Pollack is an experienced leader and expert in health policy, health financing, and advocacy.
Unifying Issues. In spite of diversity of concerns among members, certain issues draw all together: financial challenges, workforce challenges, cybersecurity, etc.
Bipartisan Advocacy. The AHA has been intentional about working across the political divide, developing close relationships with both Trump and Biden administrations.
Consolidation Advantage. The shift to value based care involves managing risk, and larger organizations can typically handle more risk: consolidation often makes sense.
Relevant Links:
If you like this episode you’ll love
Episode Comments
Generate a badge
Get a badge for your website that links back to this episode
<a href="https://goodpods.com/podcasts/the-gary-bisbee-show-212955/leading-innovation-28429421"> <img src="https://storage.googleapis.com/goodpods-images-bucket/badges/generic-badge-1.svg" alt="listen to leading innovation on goodpods" style="width: 225px" /> </a>
Copy