Pat Charmel, president and CEO of Griffin Health Corp, in Derby, Conn., is coming up on the first anniversary of their participation in the program, and has built an alliance of hospitals that are considered high-quality, low-cost, based on its 12 years managing Medicare Advantage patients.
He says the experience with Medicare Advantage has served as a great learning lab for understanding the risk aspect of running a health plan, even if operating a health plan ultimately proves unnecessary.
The Health Plan Option
Others are coming close to being able to operate their own health plans, but are being cautious. With a large employee base, says David Brooks, president of St. John Hospital and Medical Center in Detroit, hospitals are ideally positioned to experiment with risk, as they are effectively at risk already with their own employees. They can look at utilization just like a health plan, and can adjust benefits just like a health plan.
Regardless, hospitals and health systems, at least those represented at the CEO Exchange, are not standing still. They're trying to innovate in order to survive and thrive in a much different environment. What I've shared here is only a small taste of what we've all heard over the past two days of session. My fellow editors and I will endeavor to bring you further insights from our 40 attendees over the coming weeks, so stay tuned.