Featured Research

from universities, journals, and other organizations

Leading health care executives optimistic about health care reform, survey shows

Date:
December 18, 2013
Source:
Perelman School of Medicine at the University of Pennsylvania
Summary:
Nearly two-thirds (65 percent) of the nation’s leading health care executives say they believe the health care system will be somewhat or significantly better by 2020 than it is today as a result of national health care reform. Additionally, 93 percent believe that the quality of care provided by their own hospital or health system will improve during that time period. The results of the survey show a strong divergence from the opinions of many politicians and commentators, as well as the general public.

Nearly two-thirds (65 percent) of the nation's leading health care executives say they believe the health care system will be somewhat or significantly better by 2020 than it is today as a result of national health care reform. Additionally, 93 percent believe that the quality of care provided by their own hospital or health system will improve during that time period. The results of the survey, which will be published today on the Health Affairs Blog, by researchers from the University of Pennsylvania and the Children's Hospital of Philadelphia, show a strong divergence from the opinions of many politicians and commentators, as well as the general public.

"Pessimism seemingly pervades the national dialogue surrounding health care reform," the authors write, citing that many elected officials and commentators have assailed the new health care law as destined to fail, and nearly three-quarters of the general public expect the quality of health care to decline or stay the same, while only 11 percent expect it to improve. The authors suggest that a more meaningful source for an appraisal of health care reform would be "individuals who are especially informed -- people who have spent their entire careers on the front lines of the health care system deciding how budgets are managed and how care is delivered -- people like the leaders of America's hospitals and health systems."

The authors -- Ralph W. Muller, CEO of the University of Pennsylvania Health System, Ezekiel J. Emanuel, MD, PhD, vice provost for global initiatives and chair of the Department of Medical Ethics and Health Policy at the University of Pennsylvania, Andrew Steinmetz, research assistant to Dr. Emanuel, and Steven M. Altschuler, MD, president and CEO of The Children's Hospital of Philadelphia -- surveyed 74 senior executives from large hospitals and health systems across the United States. Respondents included 46 CEOs, 17 presidents, four CFOs, and three COOs. Nearly all worked in large academic medical centers, which on average employed 8,520 workers and had annual revenues of $1.5 billion. On cost control there was similar optimism:

• 91 percent of the study's respondents forecasted improvements within their own hospital or health system by 2020.

• 85 percent expect their organization to have reduced its per-patient operating costs by the end of the decade.

Overall, the expected average operating cost reduction was 11.7 percent. These savings could be achieved by such strategies as reducing the number of hospitalizations (54 percent), reducing the number of readmissions (49 percent), and reducing the number of emergency room visits (39 percent).

"It is easy to be pessimistic about reforming the health care system," the authors write. "Change causes uncertainty and therefore anxiety -- and anxiety makes people pessimistic. For the leaders of America's flagship hospitals, it would be particularly easy to adopt a pessimistic outlook. Funding for their research missions has been declining. Support for their teaching mission is under threat. Payments for patient care are facing downward pressure, forcing them to transform their business models. Yet hospital leaders appear to be very optimistic about the future of the system."

The survey's respondents also identified additional ways the federal government could assist in achieving cost reduction in hospitals, including:

• setting a specified timeline for changing Medicare reimbursement from a fee-for-service payment system to a bundled payment approach (31 percent);

• aligning payment policies between Medicare and private insurers (30 percent);

• and, separating funds for training and research from Medicare payment and maintaining current funding levels (28 percent).

Among respondents who were pessimistic about the Affordable Care Act's effects, administrative complexity was cited as the greatest barrier to reducing their organizations' operating costs. Fears about misaligned reimbursement policies, such as the absence of incentives for improving long term patient quality of life, also were expressed.


Story Source:

The above story is based on materials provided by Perelman School of Medicine at the University of Pennsylvania. Note: Materials may be edited for content and length.


Journal Reference:

  1. Andrew Steinmetz, Ralph Muller, Steven Altschuler, and Ezekiel Emanuel. Health Care Reform: Views From The Hospital Executive Suite. Health Affairs Blog, December 2013

Cite This Page:

Perelman School of Medicine at the University of Pennsylvania. "Leading health care executives optimistic about health care reform, survey shows." ScienceDaily. ScienceDaily, 18 December 2013. <www.sciencedaily.com/releases/2013/12/131218112659.htm>.
Perelman School of Medicine at the University of Pennsylvania. (2013, December 18). Leading health care executives optimistic about health care reform, survey shows. ScienceDaily. Retrieved September 19, 2014 from www.sciencedaily.com/releases/2013/12/131218112659.htm
Perelman School of Medicine at the University of Pennsylvania. "Leading health care executives optimistic about health care reform, survey shows." ScienceDaily. www.sciencedaily.com/releases/2013/12/131218112659.htm (accessed September 19, 2014).

Share This



More Health & Medicine News

Friday, September 19, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Could Grief Affect The Immune Systems Of Senior Citizens?

Could Grief Affect The Immune Systems Of Senior Citizens?

Newsy (Sep. 19, 2014) The study found elderly people are much more likely to become susceptible to infection than younger adults going though a similar situation. Video provided by Newsy
Powered by NewsLook.com
Jury Delivers Verdict in Salmonella Trial

Jury Delivers Verdict in Salmonella Trial

AP (Sep. 19, 2014) A federal jury has convicted three people in connection with an outbreak of salmonella poisoning five years ago that sickened hundreds of people and was linked to a number of deaths. (Sept. 19) Video provided by AP
Powered by NewsLook.com
How The 'Angelina Jolie Effect' Increased Cancer Screenings

How The 'Angelina Jolie Effect' Increased Cancer Screenings

Newsy (Sep. 19, 2014) Angelina's Jolie's decision to undergo a preventative mastectomy in 2013 inspired many women to seek early screenings for the disease. Video provided by Newsy
Powered by NewsLook.com
The Cost of Ebola

The Cost of Ebola

Reuters - Business Video Online (Sep. 18, 2014) As Sierra Leone prepares for a three-day "lockdown" in its latest bid to stem the spread of Ebola, Ciara Lee looks at the financial implications of fighting the largest ever outbreak of the disease. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins