My Favourite Quotes of 2023

Annually I look again on the interviews I carried out or webinars I reported on and pull out just a few of the quotes that basically acquired me to rethink a few of my assumptions concerning the healthcare system. So here’s a baker’s dozen from 2023 that I hope you’ll find thought-provoking as effectively. I’m trying ahead to extra attention-grabbing discussions on well being coverage, informatics, and enterprise points in 2024!

“If hospitals and different employers of nurses are actually severe about addressing the drivers of burnout, they actually need to dispense with these concepts of throwing pizza events and doing resiliency trainings, and as an alternative be conscious of what nurses say they want, which is manageable and secure workloads.”
— Karen Lasater, Ph.D., R.N., affiliate professor at Penn Nursing 

“We have created a system that has loads of related overhead, a lot of which does not do something for anyone. Take into consideration what number of federal taxpayer {dollars} go to Medicare Benefit advertising and marketing. It’s staggering,”
— Sachin Jain, M.D., M.B.A., president and CEO, SCAN Group & Well being Plan

“With points like granular consent……it’s not serving to sufferers and it’s not engendering confidence in EHR programs, HIEs or the federal authorities that the overwhelming consensus appears to be that that is too arduous. Simply attempt one thing. And at the least, be keen to return out and say ‘we’re not going to get it proper the primary time. That is sophisticated, however we all know it is a precedence.’”
— Nichole Sweeney, J.D., in-house normal counsel and chief privateness officer for Maryland-based CRISP Shared Companies

“You could possibly most likely get everyone in the USA who really understands psychological well being parity into a big ballroom. And due to that, you could have loads of concern and loads of confusion as to what’s truly concerned…..You’ve acquired individuals who say, ‘Lastly, I’ve acquired a hammer that I can use to get these insurance coverage corporations to do all the pieces they’re imagined to do.’ And also you’ve acquired the insurance coverage corporations saying, ‘Oh, nice, right here comes a hammer, and you continue to have not even informed me precisely what I have to do.’”

— Shawn Griffin, M.D., CEO of the nonprofit healthcare accreditation group URAC 

“If the capital markets and personal fairness specifically and others are pouring all this cash in to attempt to rework healthcare, for those who do not play that sport, you are going to have your cheese moved with out you being concerned. So an enormous a part of why I feel lots of people work with us and work with different gamers is as a result of they’re attempting to determine what the market is telling them. In any company function, all day lengthy you’re like a horse with blinders on. You are attempting to be sure to preserve your operation operating. I can say this as a result of I am a former chief of corporations, and that was how I ended up in LRV as a result of there have been so many issues taking place once I was at Premier, particularly in AI on the time, that I did not have any visibility into. And I assumed, who might I am going discuss to, who might I am going work with that might be a market translator for me? So that you’re attempting to take these blind spots away.”
—Keith Figlioli, managing associate at enterprise capital agency LRVHealth

“The doctor teams which are embracing Medicare Benefit are inclined to have a major care operate, the place they’ve the attribution of the coated lives and the place they get to maintain the financial savings from the capitation and the place they’ll additionally largely management the coding of diagnoses and the administration of the care, whereas hospital programs which have determined to shun Medicare Benefit are these that do not have a major care base and depend on referrals, the place denials and prior auth actually matter for folks’s entry to them. So it is not but clear whether or not these two diverging paths will go and whether or not one will outlive the opposite. Neither path has been rigorously evaluated up to now and admittedly, it’s too early to inform what the implications are for suppliers or sufferers on a big scale.”
— Zirui Tune, M.D., Ph.D., affiliate professor of well being care coverage and medication within the Division of Well being Care Coverage at Harvard Medical Faculty

“Secretary Mark Ghaly of the California Well being and Human Companies Company did a hearth chat with us in fall of 2021. He is actually been an enormous supporter of this concept of a rising tide raises all boats. That’s definitely not an unusual phrase, however I feel it was actually very applicable that he used it given how he and the state companies which are beneath him have come collectively to deal with the inhabitants as an entire in that public sector multi-payer alignment. They’ve actually performed that superbly. To me, that is a vital message for states to listen to, as a result of they’ve the facility. They do not have to attend for the personal sector. Medicare will get to do it on the federal degree. Medicaid can do it on the state degree. And relying on the state, the general public worker profit program is usually a large further associate in that, particularly for the states which have large enrollment in these plans. They’ve the flexibility to drive high quality in a means that is very highly effective. That is the factor that I might say is the best alternative relating to addressing fairness.”
— Kristine Thurston Toppe, vice chairman of state affairs on the Nationwide Committee for High quality Assurance (NCQA), a healthcare accreditation group

“We created a roadmap over three years in a sure order, as a result of some issues are dependent upon others. I wish to do some intelligent issues with information, however I want the info infrastructure first. I wish to do some automation with bots, so we have to put within the bots and software program and get folks skilled up on use it. The evaluation on when to do issues contains asking: how prepared is the group for the expertise? How mature is the expertise for the use case? How are the customers in getting access to that expertise? If it is one thing that may be a shiny object that excites all of the nerds on the market, however the docs usually are not actually all for it, I am not going to place that ahead. One good instance is faucet and go. You are taking your badge and also you faucet it to log in. Emory has not rolled that out but. I am doing that instantly, as a result of I do know from earlier expertise that everyone loves it. It is simple to do. Different issues are far more advanced. By way of home-based care, it’ll take loads of logistics so that’s within the out years. But it surely’s nonetheless on the record.”
— Alistair Erskine, M.D., M.B.A., Emory Well being’s chief data and digital officer

“So long as we’re hospital-centric in all of our processes and approaches to ship provides and assets and labor, it’s very arduous to pivot to a distinct setting and to really take into consideration that setting as being the cornerstone for care versus pondering of the hospital being the cornerstone for care. So it is a large paradigm shift. I do assume there’s a rising recognition of the feasibility of it and and more and more, the worth of it.”
— Christine Ritchie, M.D., M.S.P.H., professor of medication at Harvard Medical Faculty

“As soon as we began doing telehealth-only, over 30 p.c of all new sufferers coming into our program had by no means been in an in-person [opioid use disorder] therapy program earlier than. We have been lastly tapping into that invisible 90 p.c that different packages do not serve. And that is simply all the pieces for attempting to really handle this public well being disaster.”
—  Brian Clear, M.D., Bicycle Well being’s chief medical officer

“Labs have been very sluggish to return on board, though they’re an actor beneath the information-blocking prohibitions, and it is somewhat campaign of mine to attempt to assist the labs perceive that they should come on board. All of the labs are federally required to share information as we speak, at once, with out particular effort within the kind and format that is been requested and so they’re simply not doing it. If I have to get all of David’s labs from each lab that has seen him within the final 10 years as a result of I wish to see his longitudinal lab file, that is not doable as a result of individuals are actually breaking the regulation.”
— Steven Lane, M.D., M.P.H, chief medical officer at Well being Gorilla

“A part of the rationale why I got here to the VA from the personal sector, past feeling honored to have the privilege to look after our nations Veterans, is that I assumed that the VA can function a beacon of what care and cost fashions needs to be for CMS and the personal sector. The VA has an incredible alternative and adaptability to do that. That is why the VA was a pacesetter in telemedicine effectively earlier than the COVID pandemic. What we will successfully display could possibly be part of conversations on what adjustments ought to occur within the personal sector. We’re reaching the outcomes and measuring the issues that matter critically to our Veterans and reaching the price avoidance that’s mandatory for long-term sustainability.”
— Cole Zanetti, D.O., M.P.H., the appearing director for value-based care within the VHA’s Middle for Care and Cost Innovation (CCPI) and a senior advisor to the VHA Innovation Ecosystem

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