That’s been health policy expert Mark McClellan’s mantra for
years. Finding ways to get payment and regulatory policies to support better
care and a lower cost is what McClellan does.
“That’s very much part of the current expansion of efforts to
move to payment models that are based more on results and value,” he says.
McClellan will discuss the transition toward value-based health
care delivery in his keynote speech “The State of Health Policy” May 3 in
Austin at HealthCare Texas 2016, an annual conference bringing together more
than 300 leading innovators in healthcare information technology, life
sciences, and therapeutics.
“A lot of these payment reforms are about giving health care
providers more flexibility in doing what they think is working with their
patients and is best for their patients’ outcomes, but at the same time, since
resources aren’t unlimited, having more accountability for results,” McClellan
says.
Last December, McClellan, who served as head of the U.S. Food and
Drug Administration from 2002 to 2004, joined the faculty at Dell Medical
School at The University of Texas at Austin to advance the school’s mission of
redesigning health care around value.
McClellan says that while his primary basis with UT is its new
health policy center, he’s working with Dell Medical School on an ongoing basis
as they take steps to implement new health care trends and ideas into the
curriculum.
“One advantage of being a new medical school is that you don’t
have to do things the old fashioned way,” McClellan says. “The leadership of
the medical school has undertaken a tremendous effort to ask fundamental
questions like ‘What kind of education do physicians need to practice in a
future medical system that is hopefully going to be much more about better care
at a lower cost?’”
Dr. Clay Johnston, inaugural dean of the Dell Medical School,
said McClellan’s work will support efforts to revolutionize the way people get
healthy and stay healthy.
“Mark has been
a national leader in conceptualizing how to build a better health care system,
and now he can really accelerate the pace in putting that system in place,” Dr.
Clay Johnston said of McClellan after he was hired at UT.
Another one of McClellan’s objectives has been to help provide
better information on the quality of care. McClellan says in recent years there
has been much support for more transparency regarding prices and quality health
care.
“I think there’s a lot promising work going on, including by some
early stage companies, to help turn all of this health care data into
information that’s really useful for patients and physicians and other health
care providers that are guiding their decisions,” McClellan says.
McClellan notes that its very difficult to take raw information
from claims data and convert it into a confident, accurate measure of the total
cost of care that a patient faces.
“It’s not just a matter of what shows up on an insurance claim
but things like: ‘Did a patient have a better functional outcome after surgery?
What was the outcome of cancer treatment for a patient with an advanced
cancer?’”
McClellan says the good news is we’re making progress.
“It’s an area where there’s been a lot of recent investment by
health information companies providing patient-oriented and actionable analytic
information on quality and cost of care,” he says. “I hope we continue to make
further progress there.”
