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American Focus > Blog > Health and Wellness > Future of Medicare, Atul Gawande,
Health and Wellness

Future of Medicare, Atul Gawande,

Last updated: October 18, 2024 11:09 am
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The STAT Summit recently took place, and attendees were treated to a breathtaking view of Boston as the almost-supermoon rose in the sky. The event brought together healthcare professionals, journalists, and researchers to discuss important topics in the field.

One of the highlights of the summit was a session with Atul Gawande, who spoke about the importance of understanding people’s priorities as life expectancies increase. He quoted a line from his book ‘Being Mortal’ and emphasized the need to focus on living a good life to the very end. The summit also featured doctors who shared their experiences with the moral injury of UnitedHealth Group’s Optum taking over their practices.

Another key topic at the summit was the impact of biased algorithms on patient care. Usha Lee McFarling and Katie Palmer’s series on Embedded Bias highlighted the challenges of disentangling race from algorithms. One patient shared their story of waiting four extra years for a kidney transplant due to the race factor in one of these algorithms.

The summit also showcased the work of young healthcare professionals, including Alex Chern, who is exploring the connection between music, hearing loss, and cognitive decline. Researchers at the summit discussed the concept of the exposome, which includes all the chemicals a person is exposed to in their environment.

In addition, the summit addressed the diversity within the Asian American community in healthcare. A study published in JAMA Network Open revealed disparities among different Asian American populations in healthcare roles. The overarching category of Asian American was found to mask inequities rooted in historical injustices.

See also  Eliminating Waste, Fraud, and Abuse in Medicaid My Administration has been relentlessly committed to rooting out waste, fraud, and abuse in Government programs to preserve and protect them for those who rely most on them. The Medicaid program was designed to be a program to compassionately provide taxpayer dollars to healthcare providers who offer care to the most vulnerable Americans. To keep payments reasonable, billable costs for such care were historically capped at the same level that healthcare providers could receive from Medicare. The State and Federal Governments jointly shared this cost burden to ensure those of lesser means did not go untreated. Under the Biden Administration, States and healthcare providers were permitted to game the system. For example, States "taxed" healthcare providers, but sent the same money back to them in the form of a "Medicaid payment," which automatically unlocked for healthcare providers an additional "burden-sharing" payment from the Federal Government. Through this gimmick, the State could avoid contributing money toward Medicaid services, meaning the State no longer had a reason to be prudent in the amount of reimbursement provided. Instead of paying Medicare rates, many States that utilize these arrangements now pay the same healthcare providers almost three times the Medicare amount, a practice encouraged by the Biden Administration. These State Directed Payments have rapidly accelerated, quadrupling in magnitude over the last 4 years and reaching $110 billion in 2024 alone. This trajectory threatens the Federal Treasury and Medicaid's long-term stability, and the imbalance between Medicaid and Medicare patients threatens to jeopardize access to care for our seniors. I pledged to protect and improve these important Government healthcare programs for those that rely on them. Seniors on Medicare and Medicaid recipients both deserve access to quality care in a system free from the fraud, waste, and abuse, that enriches the unscrupulous and jeopardizes the programs themselves. We will take action to continue to love and cherish the Medicare and Medicaid programs to ensure they are preserved for those who need them most. The Secretary of Health and Human Services shall therefore take appropriate action to eliminate waste, fraud, and abuse in Medicaid, including by ensuring Medicaid payments rates are not higher than Medicare, to the extent permitted by applicable law. This memorandum is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person. DONALD J. TRUMP

The summit also covered a range of other topics, from the future of Medicare to the impact of legal marijuana on public health. Attendees had the opportunity to engage with experts and learn about the latest developments in the healthcare industry.

Overall, the STAT Summit provided a platform for thought-provoking discussions and insights into the future of healthcare. Attendees left with a greater understanding of the challenges and opportunities facing the industry and a renewed sense of purpose in their work.

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