The public response to the killing of United Healthcare’s CEO made it hard to ignore the erosion of trust in U.S. health care. Even before that, more questions were being raised about prior authorization – insurers’ tools for approving or denying a proposed treatment or drug. Patients need appropriate care in a timely manner. Providers need to spend less time dealing with barriers and bureaucracy to get patients that care. And insurers need to be sure they are paying for the right care – not for overtreatment, unnecessary treatment or overly aggressive care. Join us for a candid discussion of the friction points, the frustrations, and some emerging potential solutions as U.S. health care seeks that delicate balance: Register today!
Panelists
Ceci Connolly, CEO, Alliance of Community Health Plans
Ceci Connolly is a nationally recognized thought leader, author and chief executive officer of the Alliance of Community Health Plans (ACHP). But if you refer to her as a former ink-stained wretch, she won’t object. Ceci spent 25 years in the news business, covering politics and health care, including 13 years at the Washington Post. She is co-author of Landmark: America's New Health Care Law and What It Means for Us All. Between her journalism career and ACHP, she worked at McKinsey and PwC, concluding that fee-for-service medicine is what ails us. Her passion now is to put a stake in it. She is a founding member of Women of Impact, serves on the Board of the Pharmacy Quality Alliance and a previous Board member of Whitman-Walker Health. She hosts the Healthy Dialogue podcast and is a guest host for Her Story. Ceci was the first non-physician to receive the Mayo Clinic Plummer Society Award for promoting deeper understanding of science and medicine. She remains an adrenaline junkie and stickler for good grammar.
James P. Holland, President, Johns Hopkins Health Care
Holland oversees all aspects of Johns Hopkins HealthCare, which develops and manages medical care contracts with organizations, government programs and health care providers for more than 350,000 plan members. Health plans under Johns Hopkins HealthCare include Priority Partners Managed Care Organization, Johns Hopkins Employer Health Programs, Johns Hopkins US Family Health Plan and Johns Hopkins Advantage MD.
Holland brings significant experience and a strong record of success in the managed care industry. He previously served as the vice president for alliance business with Anthem, Inc., a national health benefits company. In this position, Holland led the development and management of multistate government program partnerships, including joint ventures with providers and insurers. During his eight years with Anthem, Holland also served as vice president for product development, responsible for new capabilities and ACA market entry.
Ravi Gupta, MD, Assistant Professor, Internist and Prior Authorization Researcher, Division of General Internal Medicine
Dr. Gupta's current research focuses on FDA regulation and prescription drug policy; access to treatment of opioid use disorder and the social and economic determinants and corporate excesses that enabled the opioid epidemic; and areas of private provision of public services, including Medicare Advantage, Medicaid managed care, and value-based and alternative payment models. His work has appeared in JAMA, JAMA Internal Medicine, New England Journal of Medicine, British Medical Journal, Health Affairs, Journal of General Internal Medicine, Boston Review, STAT News, and the New York Times.
Dr. Gupta received his BA in Political Science and BS in Molecular Genetics from The Ohio State University. He subsequently worked in India as a Research Associate for the MIT Jameel Poverty Action Lab. He graduated from the Yale School of Medicine and completed his residency in Internal Medicine in the Johns Hopkins Hospital Osler Medical Training Program within the Urban Health track. He is a primary care physician at the Johns Hopkins Outpatient Center.
Moderators:
Amit Jain, MD, PhD, Associate Professor, Johns Hopkins University, School of Medicine, Dept of Orthopedic-Spine Surgery
Joanne Kenen, BS, Journalist in Residence, Assistant Lecturer, Johns Hopkins University, Bloomberg School of Public Health, Dept. of Health Policy & Management
The Hopkins Business of Health Initiative integrates the scholarship across Johns Hopkins University - through a partnership between the Carey Business School, Bloomberg School of Public Health, School of Nursing, and School of Medicine - around a shared vision of a healthier America, supported by an affordable and equitable, high-value health system. In pursuit of this vision, our work focuses on the role of business and incentives through rigorous, objective, non-partisan, interdisciplinary research. Learn more here.