The Physicians Foundation

Report to OSMAPJune 2013

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The Physicians Foundation Overview• National non-profit organization formed in 2003

and dedicated to:– Improving the delivery of healthcare to all patients– Advancing the work of practicing physicians– Sustaining the viability of medical practice

• Pursues mission through grantmaking, research, national surveys and policy studies– Given more than $28 million in grants– Conducted three nationwide surveys of physicians– Graduated over 100 physician leaders from our Academy

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The Physicians Foundation Signatory Medical SocietiesAlaska State Medical Association Medical Society of Northern

VirginiaCalifornia Medical Association Medical Society of the State of

New YorkConnecticut State Medical Society Nebraska Medical

AssociationDenton County Medical Society (Texas) New Hampshire Medical SocietyEl Paso County Medical Society (Colorado) North Carolina Medical SocietyFlorida Medical Association South Carolina Medical

AssociationHawaii Medical Society Tennessee Medical

AssociationLouisiana State Medical Society Texas Medical AssociationMedical Association of Georgia Vermont Medical SocietyMedical Society of New Jersey Washington State Medical

Association

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The Physicians Foundation Board MembersLouis J. Goodman, PhD, Texas Medical AssociationAlan Plummer, MD, Medical Association of GeorgiaWalker Ray, MD, Medical Association of GeorgiaRobert Seligson, North Carolina Medical SocietyLarry Braud, MD, Louisiana State Medical SocietyDon Alexander, Tennessee Medical AssociationSubhi Ali, MD, Tennessee Medical AssociationKarl Altenburger, MD, Florida Medical AssociationTodd Atwater, South Carolina Medical AssociationJames Cross, MD, Aetna, Inc.Lawrence Downs, Esq., Medical Society of New JerseyWilliam Guertin, California Medical Association

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The Physicians Foundation Board MembersJennifer Hanscom, Washington State Medical AssociationPaul Harrington, Vermont Medical SocietyRipley Hollister, MD, El Paso County Medical Society (Colorado)Sandra Johnson, Nebraska Medical AssociationPalmer Jones, New Hampshire Medical SocietyAlex Malter, MD, Alaska State Medical SocietyGerald McKenna, MD, Hawaii Medical AssociationGary Price, MD, Connecticut State Medical SocietyPhilip A. Schuh, Medical Society of the State of New YorkClaudia Tellez, Medical Society of Northern VirginiaJoseph Valenti, MD, Denton County Medical Society (Texas)Timothy Norbeck, Chief Executive OfficerWilliam Mahon, Chief Operating Officer

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The Physicians Foundation Communications Activities• 2013 Physician Watch List– Identified five issues that are likely to have a significant

impact on patients and physicians in 2013, including:• Uncertainty over healthcare reform• Consolidation means “bigger.” But is bigger better?• 12 months to 30 million• Erosion of physician autonomy• Growing administrative burdens

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The Physicians Foundation Communications Activities• 2013 Physician Watch List Video– Hosted on dedicated Foundation YouTube channel– Includes research / commentary from Board members on

major challenges facing physicians

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The Physicians Foundation Communications Activities• Media Outreach– Published op-ed on healthcare

cost drivers on Forbes.com– Conducted D.C. media tour

• Met with reporters from Bloomberg, Politico, Modern Healthcare, Kaiser Health News, and American Medical News

• Shared physician perspective on significant health policy / marketplace issues affecting doctors and patients

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The Physicians Foundation Communications Activities• Media Coverage

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The Physicians Foundation Research Activities• Healthcare Highway II– Prepared by Bostrom and

Old Creekside Consulting– Third installment in series of

comprehensive research reports regarding ongoing regulatory changes affecting private practice

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The Physicians Foundation Research Activities• Healthcare Highway II– Provides overview of ACA implementation and physician-

focused policies, including:• Medicare physician fee schedule and the sustainable growth rate• Value-based payments and quality• ACO growth and Medicare Shared Savings Program• Health insurance market reforms• Medicaid program expansions

– Also highlights various challenges related to federal budget, debt ceiling, healthcare entitlement programs and federal tax policies

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The Physicians Foundation Research Activities• A Blueprint for a More

Effective, Physician-Directed Health System– Authored by Jeff Goldsmith, Ph.D– Offers influencers and providers

a different perspective on ways to strengthen U.S. healthcare system for physicians and patients

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The Physicians Foundation Research Activities• A Blueprint for a More

Effective, Physician-Directed Health System– A “redesign” of the U.S. healthcare system

is needed based on key principles, including:• Offer patients multiple choices in

relationships/clinical solutions• Consolidate and simplify payment transactions• Strengthen the patient-physician relationship• Improve teamwork and continuity by making

payments on a bundled basis for complete solutions to medical problems

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The Physicians Foundation Research Activities• The Unintended

Consequences of Regulation– Authored by Fred Hyde, MD– Explains how federal initiatives

are having a corrosive effect on physicians and their practice of medicine

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The Physicians Foundation Research Activities• The Unintended

Consequences of Regulation– Identified Top 10 regulatory “irritants”

driving physicians out of independent medical practice, including:• Meaningless Work – Federal reporting

requirements add to physician’s work without direct benefit to patient

• Data is replacing information – Under ICD-10, there are now more than 68,000 regulatory codes compared to 13,000 codes previously

• Comparative effectiveness research – Recommendations from groups such as IPAB and PCORI can be ineffective and confusing

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The Physicians Foundation Research Activities• Scope of Practice Report– Authored by Stephen Isaacs

and Paul Jellinek– Examines growing trend

toward expanding scope of practice for non-physician providers

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The Physicians Foundation Research Activities• Scope of Practice Report– Multiple factors are

contributing to trend, including:• Payers and large delivery systems

trying to contain / reduce rising healthcare costs

• Growing patient access problems related to physician shortages

• Demand for mid-level providers by physicians seeking to sustain medical practices

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The Physicians Foundation Grantmaking Activities• Grantmaking promotions

– NY / NJ Hurricane Sandy grant• Provided $700,000 to assist doctors in New York

and New Jersey with their rebuilding efforts following the devastation

• Collaborated and coordinated media efforts with MSNJ and MSSNY

– Physician Leadership grants• Awarded more than $1.5 million• 17 grants aim to create resources / programs to

train physicians and medical professionals in leadership, business management, communication and interdisciplinary collaboration

• State Medical Society President’s Leadership Academy at Kellogg School of Management

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The Physicians Foundation Grantmaking Activities• Leadership grant examples:– Awarded $338,135 to Institute for Medical Quality (IMQ)

to expand physician leadership program to Texas and Washington, D.C.

– Awarded $75,000 to North Carolina Medical Society Foundation to develop the Kanof Institute for Physician Leadership

– Awarded $75,000 to The Daniel Hanley Center for Health Leadership (Maine) to expand physician leadership education in other states

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The Physicians Foundation Works in Progress• Ongoing physician workforce

simulation with University of North Carolina at Chapel Hill due in late 2013

• Launch of Foundation social media / digital communication channels

• Upcoming webinars:– Medical Society Communications

Directors webinar– Medical practice innovation webinar

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Questions or Comments?