FiveStepstoHealthinAmericaPostElectionAnalysis

JULIAHARTWELL- DREFKE

ADVENTISTHEALTHPOLICYASSOCIATION

Congratulations!

AdventistHealthPolicyAssociation(AHPA)•Policyvoicefor5hospitalsystems(84hospitalsin17states&DC)•CreatedSeptember2010•Members:

◦ AdventistHealth(CA,HI,OR,WA)◦ AdventistHealthSystem(FL,GA,TN,NC,IL,KY,KS,WI,TX&CO)◦ AdventistHealthcare(MD,NJ&DC)◦ KetteringHealthNetwork(OH)◦ LomaLindaUniversityHealth(CA)

AHPAGoals•Analyzetheimpactofproposedfederalpolicy&regulationsonAdventisthospitals•Supportexisting&newfederallegislation,policy,rules&guidelinesthatallowAHPAmemberstofulfilltheirmissionofoutstanding,faith-basedhealthcare

• ProvideGuidanceandsupportonCommunityBenefitandstateandlocalefforts

UnitedVoiceonHealthPolicyIssues

2016AHPAAdvocacyAgendaPromotePeople&Community- CenteredCare– TheFiveSteps

Not-for-ProfitAccountability

EndofLifeCare/PalliativeCare

WorkforceDevelopment

“Themostpowerfuldeviceknowntoman:anidea.Asingleideafromthehumanmind;itcanstartagroundswell,aflashpointforamovement,anditcanrewritethefuture.But,anideaispowerlessifitstaysinsideofyou.”– NancyDuarte

Thishasworked…

Everyonehastheirpolicypriorities…

DistinctiveAgenda&Message

BuildontheSeventh-dayAdventistlegacyofprovidingextraordinarywhole-personcareinahealingenvironmentthatencourages

personalandcommunitywellnessandlifestyle– notonlydisease.

AdvisorSessionsEachSystemhostedanAdvisorSession

WritingTeams5Writingteamscomposedof3-6members

ADVENTISTHEALTHPOLICYASSOCIATION(AHPA)

FiveStepstoHealthinAmerica.AHealthPolicyAgendafortheNextPresident&CongressoftheUnitedStates

FiveStepstoHealthinAmericaStep1:PrioritizeWellnessasaKeyDomesticPolicywithaBroadNationalFocusStep2:ImprovetheCurrentHealthSystemStep3:StrengthenthePublicHealthInfrastructureStep4:MovetoPeopleandCommunity– CenteredCare:IntegratingMind,Body,andSpiritStep5:SupportHealthinAllPolicies

Dissemination✓Allpresidentialcampaigns✓MembersofCongress&Congressionalcandidates✓ThinkTanks&otherpolicyinfluencingorganizations✓AlliedAssociations✓Leadersofthecommunitiesweserve✓Internal

Wherearewenow?Uninsured

201441mil

201627mil

19stateshavenotexpandedMedicaid

Premiumsbelowprojectedfor2014– 2016

WillIncreasein2017

MedicarespendingslowedduetoACAdeliverysystemreforms

WestillhaveworkTheU.S.CentersforDiseaseControlandPreventionnotesthat:

NearlyhalfofallAmericanadultshaveatleastonechronichealthconditionandaquartersufferfromtwoormore.

HalfofU.S.adultsareatriskforheartdiseaseorstroke.

90percentofAmericansingesttoomuchsodium,increasingtheirlikelihoodofhighbloodpressure.

Obesity,whichincreasestheriskofheartdisease,stroke,diabetes,cancerandotherchronicconditions,affectsoneinfivechildrenandmorethanoneinthreeadultsinAmerica.

SickCaretoHealthCare75%ofourtotalhealthspendinggoestotreatingchronicdiseaseOnly3.1%spentonpreventingdiseaseEffectsoureconomy– 2.5billiondaysofworkedduetochronicillness

NewPresident– NewCongress

• HouseofRepresentatives– Republican• Senate- Republican• President– DonaldTrump

TheNextFourYearsUninsured?

Affordability

PublicHealthIssues◦ Zika◦ Opioid◦ MentalHealth

Transparency

Risingprescriptioncosts

PreventionandChronicDisease

TheNextFourYears-TrumpRepealandReplacetheACA◦ Replacewithwhat?Ryanplan– “ABetterWay”

AssumingRepealwillinclude◦ Pre-existingconditions◦ Insurancemarketplaces&subsidies◦ Medicaidexpansion◦ MedicarePaymentReformslikeVBP

◦ CommunityHealthNeedsAssessment?

TheNextFourYears-TrumpAllowHealthinsurancepremiums tobetaxdeductible

ExpandHSA’s

FreeMarketPrinciples inHealthCare◦ Insurancesalesacrossstatelines◦ BlockgrantstostatesforMedicaid

Callsforpricetransparencyforallproviders

Removebarrierstomarketentryfordrugproviders/Allow importeddrugs forpersonaluseiftheymeetsafetystandards.

TheReplace– Ryan’sABetterWayPortableHealthInsurance– RefundableMonthlytaxcreditInsurancesalesacrossstatelinesMedicalliabilityreformProtectpeoplewithPre-existingconditions

ABetterWaycont..Dependentsup26allowedtostayonparentsplan

ForMedicaidstatescanchooseper-capitaenrollmentorblockgrant

RestoreCHIPto2015rates

StrengthenMedicareAdvantage

RepealIPAB,CMMIandBanonphysician-ownedhospitals

MoveawayfromFeeforService

MatchMedicareeligibilitywithSocialSecurity65to66

ThingstoconsiderAnewSpeakeroftheHouse?TimingWhowillleadHHSandCMS?

PrioritizeWellnessasaKeyDomesticPolicywithaBroadNationalFocusConsideration1

Maintaincurrentfederalandstateinvestmentsinpreventionandpublichealth

PreservePreventionFund◦ 2015- 79milliondollarsdivertedfromprevention◦ Willthisexist?

PrioritizeWellnessasaKeyDomesticPolicywithaBroadNationalFocusConsideration2

Sustaintheparticipationofallfederalagenciesandexpandattentiontohealthwithin

non-healthagencies

Healthinallpolicies

PrioritizeWellnessasaKeyDomesticPolicywithaBroadNationalFocusConsideration3

Reorientpublicandpoliticalperceptionofdiseasepreventionandwellness

PrioritizeWellnessasaKeyDomesticPolicywithaBroadNationalFocusConsideration4

EstablishaWhiteHouseOfficeofWellness&Prevention

Questions?