National Academy of Medicine (NAM) 3-Day Series (2.5 hours per day)
The National Academy of Medicine (NAM) recently hosted a series of three virtual workshops, in partnership with the Health and Medicine Division of the National Research Council, focused on “Financing that Rewards Better Health and Well-Being.” The series was designed to explore payment models that facilitate patient-centered care and holistic approaches and discuss how fee- for-service financing might be transitioned to these models. More specifically, the National Academy of Medicine highlighted five objectives:
- Describe the deficiencies in our current health delivery and financing systems for creating health and sustaining health care delivery in light of the COVID-19 pandemic.
- Identify and describe alternative payment models demonstrating major transformations in health care delivery and financing, address those deficiencies, and summarize their characteristics and designs.
- Describe how integrated financing approaches can be used to redirect payment for individual services that may be unnecessary or even harmful toward payment for care of the whole person, equitable population health outcomes, improved patient and provider experience, and reduced per capita costs.
- Evaluate how care models using integrated financing have adapted to the COVID-19 pandemic to create whole person-population health and remain financially viable.
- Identify practical strategies and financing approaches that effectively reward whole person-population health.
Joining the NAM in sponsoring this series was the Samueli Foundation, represented by Dr. Wayne Jonas, who was recognized by Dr. Michael McGinnis, the Leonard D. Schaeffer Executive Officer and Senior Scholar of the NAM, as a principal proponent of the partnership that led to this series and its follow-up. Other sponsors included the George Family Foundation, Nemours Foundation, the Well Being Trust, and the Whole Health Institute, and included a variety of nationally recognized experts).
Day 1 was filled with respected voices laying out the inconsistencies in the current payment system for healthcare services, and the disconnect between quality indicators and payment systems. Their presentations were riveting with excellent analysis, data and discernment about needed changes to support “health and wellness” promotion.
Day 2 presenters highlighted from experience the social disparities witnessed and evident during the pandemic that already existed but became so clearly apparent with a healthcare system under duress. They shared their models, ones that worked and ones that didn’t to incorporate integrative health care services within the current health reimbursement systems and insurance companies resistance toward changing.
This session, Day 2, included 3 of our own IHPC members, Fasih Hameed, Petaluma Health Center, Margaret Chesney, University of California San Francisco, and David Fogel, CHI Healthcare, Maryland, and they provided a brief description of current barriers, followed by a discussion of successful strategies and core elements of scalable integrated financing approaches that incentivize positive health outcomes for individuals and communities.
Day 3 once again had nationally recognized health experts presenting alternatives to address the lack of incorporation of integrative healthcare providers within insurance reimbursement policies, and mechanisms to address this going forward. The issues of quality, and equity were front and center within these presentations and very profound data was shared.
There is a total of 7.5 hours of presentations, and they are all worth your time, as they present an up-to-date picture that integrative providers find themselves working within, the challenges and opportunities are explored. Changing the financing of healthcare in this country is a daunting undertaking, and these presenters all contribute greatly to a vivid understanding of what is at stake and what can be gained with significant changes to health insurance reimbursement.
IHPC recommends each of our PFH and any other interested parties watch these powerful and insightful presentations, which are highly relevant to our work as integrative providers, patients, and advocates. You can access them here:
Event Materials and Links to Broadcast