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Raising the Bar /
Payment Reform and
Cardiovascular Disease
June 12, 2009 | Washington, DC
Presented by:
Avalere Health and the American College of Cardiology
Conference Overview /
Cardiovascular disease is the leading cause of death among American adults, and an estimated 80 million people are living with one or more of its forms. Management of the disease requires drugs, devices, surgical procedures, labs, and imaging tests that, when taken together, make cardiovascular disease a significant contributor to healthcare spending across all payers. The American Heart Association and the National Heart, Lung, and Blood Institute estimated that the cost of cardiovascular disease and stroke for 2008 topped $457 billion.
Most healthcare reform proposals cite the need to change the way we pay for healthcare as crucial in achieving the related goals of improved care delivery and more efficient use of resources. Currently, the consensus diagnosis is that fee-for-service payment systems reward volume over value and that we need a new payment paradigm. But the consensus fades away in the light of specific proposals such as bundling payments across sites/providers of service, moving to gain-sharing arrangements, and introducing transparency and pay-for-performance. Many of these concepts have been tested in various pilots, demonstrations, and experiments, but few have resulted in large-scale changes in the way care is delivered or funded.
Avalere’s Symposium, Raising the Bar / Payment Reform and Cardiovascular Disease, will team experts in payment models with marketplace leaders facing the real-world challenges of paying for care in a wide variety of market conditions. We will be using cardiovascular disease as the prism through which we explore such issues as:
- A “True” Physician Fix?: Changing the Payment System for Acute Care
- Fostering “Systemness”: Payment System and Care Coordination
- Evidence in Action: Point-of-Care Information and Its Influence on Care Delivery
- Transparency of Cost and Quality Information: Implications for Patients, Payers, and Employers
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