Page 37 - Modern Healthcare (January 2020)
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“We need to be sure that as healthcare policy is being made, that our
                                                                                                           estimator tools … I think
                              patients’ needs are at the core of what we’re trying to accomplish.”
                                                                                                           there’s real opportunity
                                                                                                           for us to take the good
                                                                                                           work that’s been done and
                                                                                                           scale it.
                              MH: What are your perceptions
                                                        particular is that technology,
                                                                                 officer is a member. I think
                              of how it has evolved?
                                                                                 much of the conversation
                                                        particularly the electronic
                                                                                                           MH: Are there areas around
                                                                                                           price transparency where
                                                        health record, is both a
                              Estes: I was fortunate
                                                                                 around that table right now
                                                                                 has been around surprise
                                                        godsend and a burden. The
                              to chair the inaugural
                                                                                                           you think there is room to
                                                                                                           work with the CMS?
                              innovation center leadership
                                                                                 billing and putting together
                                                        third one is this notion that
                                                                                 a series of principles that we
                                                        as we take on more and more
                              group. I might highlight one
                                                        risk, are there things that
                                                                                 can, as a field, agree to.
                                                                                                           Estes: My personal bent
                              thing, which is the design
                                                                                   But this ties in very much
                                                        we, as providers, can come
                                                                                                           is that there is always
                              studio work that is being
                                                                                                           a way to find common
                                                        together to do to approach
                                                                                 to the work that has gone
                              done. There was a desire
                                                                                                           ground, especially
                                                        that in a little different way?
                              to tackle two or three big   physicians and clinicians in   St. Luke’s chief financial   have very good price-
                                                                                 on at the AHA for a very
                              problems that impact all of                        long time around value and   when both parties have
                              us in healthcare.         MH: How do you think     affordability. Affordability   the same goal, which
                                One is behavioral health   about the debate over price   in my view translates often   is to move American
                              networks because there    transparency in relation to the   to what a consumer pays out   healthcare to provide
                              continue to be a shortage   perception of hospitals with   of pocket. Given the number   the best care for our
                              and a maldistribution of   policymakers and consumers?  and complexity of insurance   patients that we can. How
                              behavioral health resources                        arrangements and other    some of the regulations
                              in our country. The second   Estes: Transparency is an   arrangements, it has not   have been proposed has
                              is the usability of the   important issue and the   been very easy for us to tell   been problematic, but I
                              electronic health record. One  AHA has put together a price   somebody what they have   certainly believe that there
                              of the things we hear from   transparency task force;   to pay. A lot of our members   will be common ground. l
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