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Marilyn Tavenner: Looking Ahead On Medicare And Medicaid

posted by Marilyn Tavenner, AHIP President and CEO

on October 16, 2015

Consumers are engaged more than ever in their health care, and for our industry, the focus is on creating new ways to deliver greater choice, quality, and innovation for millions of Americans across the country. This commitment is fundamental to the work that health plans do every day on behalf of their enrollees.

There is still more work to be done, and as we look towards the transformation taking place in the health system today, I’m focused on the following:

Affordability – The U.S. health care system has become unsustainable and unaffordable. Our current financing model pays for every service provided, no matter the outcome. The result is a health system that is fragmented and inefficient. What our patients really need is a system that fosters and supports coordinated, comprehensive patient-centered care.

This is where health plans come in. Plans continue to take a leadership role in implementing new payment models to ensure patients are receiving the right care, at the right time, in the right setting, and at the best price. I look forward to building upon the great work that’s already been done to restructure the delivery system, rewarding quality outcomes and promoting cost-containment and affordability.

By leading collaborative efforts to reform the payment and delivery system, we can deliver better care, better health outcomes, and better value to consumers.

Public Programs Health plans serve millions of beneficiaries enrolled in public programs, and I have made it part of my focus as AHIP’s President and CEO to strengthen Medicaid Managed Care, Medicare Advantage, and Medicare Part D plans to ensure patients have access to quality, affordable health care. Through greater collaboration and information sharing between the public and private sectors, we will create a 21th Century health care system with payment and delivery models that better meet the changing needs of the patients we serve.

The future of these programs will be at the forefront during AHIP’s National Conferences on Medicare and Medicaid and Dual Eligibles Summit next week in Washington, D.C., as policymakers and stakeholders focus on promoting a patient-centered health system. I look forward to joining Thomas A. Scully, Gail R. Wilensky, and Mark B. McClellan, three fellow former CMS administrators, to discuss what’s next for Medicare and Medicaid.

And with regular posts here on AHIP Coverage, I look forward to keeping you informed on the important issues and challenges facing health care consumers, employers, and the health system at large.