in Europe single payer – now push back. Trend to get single payer system n the US. Solutions require engage across the silos.
Cost vs Research, asset consolidation in Healthcare, no more 6,000 Hospitals. Partners is the largest Research in US and the World, NIH cuts felt at Partners. Center for creation of innovations, value is created by innovations.
MassBio innovate in TEN years: engage in upscale BMI.
Moderator: Why is value so important?
Geoff – Regulatory, longer to get to Agency, less attractive reimbursement, cost containment innovation should not be impaired through Healthcare reform transition. Cost containment – introduce innovation rather then reduce service.
Systems innovation, quality of care and containment of cost, Hospital x measuring cost, value created cost increased. Organogenesis, have a product, dependence on Medicare, Bundling of products, one code for a group of technology. Combination of stem cell with wound dressing, innovative therapies can be abandonment for low tech for reasons of cost containment.
Transparency related to payment needed.
ACO – PCPs lead by empowerment, Specialists drive revenues.
Stage One of ObamaCare – get all insured, obesity epidemics – if successful health care cost will decline.