Organizations that accept the risk can save money by directing the price settings and providers. It seems clear that the results improved over time and it also seems the organizations do somewhat better. That is a generalization, s so m sure that there are some tremendous organizations but as a general rule it seems to be the case it helps if you are not a hospital. So, the other thing that is important to understand and i dont know why this is so hard to explain. If you save him by suspending you shared it and that is how sharing works and so if you look after a year you are never going to do as well but im understand the shared savings are the incentives to reduce the savings. If you could share you wouldnt have any savings. We have to worry about a system that is working in 2019 said to be clear i want it to work but im much more interested getting on a path where the Healthcare System will work in 25 and 30 and if we spend all of our time trying to get a big win the risk of abandon
Introducing each panelist in the then go on. So i will start with one of the nations most highly regarded economist. What distinguishes this model the brilliant on the theory and research of more than any other economist he understands how markets work. But he also said sits on the benefits committee where he learns firsthand why were not the least efficient. Is that fair to say . [laughter] he also serves on the panel of Health Advisers with the board of directors and vice chair of mudpack we have the good fortune to have him serve on the foundation and vice three board one of the pioneers of value based insurance design to evaluate medicare and private sector organizations please join me to welcome him to the panel. [applause] i am thrilled to be here they have done an incredible job it is great to see all of you here so i will talk broadly about benefit design because bob is going to talk about the budget i am not sure bob would have this but what did they have in common . If they e
Playing hockey. He is not able to join us. Mike will cover some of the points he was going to make. Why theres a call to action to increase value in our Health Care System. Ill start first by introducing each panelist and sit down, and then go on. So ill start with mike, who is one of the nations most highly regarded economists. Really what distinguishes mike, not only is he broil yant on the theory and research. Probably more than any other economist, he understands how markets work. And he leads much of the Health Care Policy work coming out of harvard medical school, he also sits on harvards benefits committee, where he learns firsthand why markets are not always efficient. Is that fair to say . He also serves on cbos panel of health advisers. A member of the Massachusetts Health connecter board of directors and vice chair of medpac. We have the fortune of having him serve on our advisory board. Hes one of the pioneers of value based insurance design. And the go to researcher for me
Which is massachusetts, and ive been talking to some of my colleagues from massachusetts. Would you agree with that . I think also oregon has a pretty good standard. There are elements of other state laws you may not consider specific data laws. A pretty High Standard . It is a pretty High Standard, yes. Thats the starting point for us. Theres been some discussion about the Standard Energy in commerce. Would you say its a higher standard than what our bill would propose. Our standard is a reasonableness standard. So i think the difference here is not only might there be a difference in what the language says in that bill i think, also, we would be looking to the common law of the ftc and others to flesh out what the specific requirements are but its really important as were thinking about how strong the security standard is, to think about who has the enforcement power and whos going to be guiding the parties there. If the federal agencies are solely responsible for it even a strong st
Congresswoman maloney no. The standards have been flexible. I think congressman nugerbauer and congressman carnie have done a good job in doing the same thing in their bill, which is to say, were going to have standards and were going to allow them to be scaled. I think thats a good model. In other words theyve worked well and they wont be too burdensome for smaller institutions and retailers. Id also like to know your feelings about the having a minimum or a floor standard. I know that california oregon have a standard thats higher. I think its important you have to have a floor. Do you think it should be a floor or should it be a ceiling and why . Another great question. Right now we have nothing. Right. Something is better than nothing. Absolutely. And so floor would be progress, but ceiling, if its set high. We passed what we thought were nation leading standards and notification standards. You wouldnt want a bill that undercuts the 13 or so states that have done this. If youre goi