May 23-25, 2011

The 18th Princeton Conference: Where Do We Go From Here? The Future of Health Reform

Co-Sponsored by The Council on Health Care Economics

The 18th Annual Princeton Conference focused on the future of health care reform and the many implications of the Affordable Care Act (ACA). Panelists during this two-day meeting included senior administration officials Donald Berwick, Sherry A. Glied, Michael Hash, and David Blumenthal, as well as veterans of past health care reform battles and private health system leaders. Panelists looked at historical efforts to enact comprehensive health reform and lessons that shaped the Obama administration’s approach to passing the legislation. Those who opposed this legislation weighed in with their own perspectives. Several panels looked at the implementation of the ACA, with an examination of insurance regulations, state health exchanges, Medicaid expansion, ACOs, the Innovation Center, and more. Looking beyond implementation, panels discussed the impact of the ACA on health care spending and examined strategies to constrain the growth of health care costs. Panels also looked at how health reform will affect the quality of health care, new payment reforms, and how the delivery system can provide more coordinated care.

Agenda

Conference Report

Presentations

Insurance Market Reforms: Promise and Peril
Dan Durham, MPP, Executive Vice President, Policy and Regulatory Affairs, America's Health Insurance Plans

Insurance Market Reforms, States, and Regulations: Squaring the Circle(s)
Len Nichols, PhD, Director, Center for Health Policy Research and Ethics; Professor of Health Policy, College of Health and Human Services, George Mason University

Long-Term Implications of Cost Control Options
Stuart Butler, PhD, Distinguished Fellow and Director, Center for Policy Innovation, The Heritage Foundation

Exchanges and Medicaid: Key Issues for Implementing the ACA
Anne Gauthier, MS, Senior Program Director, National Academy for State Health Policy

State Health Exchanges: Louisiana’s Perspective
Bruce Greenstein, MS, Secretary, Louisiana Department of Health and Hospitals

California Health Benefit Exchange Early Implementation Tasks
Sandra Shewry, MPH, MSW, President and CEO, CA Center for Connected Health

Exchanges: How do we Get There by 2014?
Alissa Fox, Senior Vice President, Office of Policy and Representation, BlueCross BlueShield Association

Navigational Warning for Health Reform Collisions Ahead: Slow Down, Shift Gears, Turn the Wheel
Tom Miller, JD, Resident Fellow, American Enterprise Institute

Health Spending and the Federal Budget: Is Health Spending the Culprit? What’s There to Do?
Uwe Reinhardt, PhD, James Madison Professor of Political Economy and Professor of Economics, Woodrow Wilson School of Public and International Affairs and Department of Economics, Princeton University

Need for Blended Approaches
Paul Ginsburg, PhD, President, Center for Studying Health System Change

Health Spending and the Federal Budget
Stuart Guterman, MA, Vice President, Payment and System Reform, The Commonwealth Fund

Future Health Care Spending: Political Preferences and Fiscal Realities
G. William Hoagland, MS, Vice President for Public Policy, CIGNA

Where Do We Go From Here? The Future of Health Reform
Henry J. Aaron, PhD, Senior Fellow, Economic Studies, The Bruce and Virginia MacLaury Chair, Brookings Institute

The ACA and Delivery System Reform: A Few Contrarian (or Just Contrary) Views
Robert Berenson, MD, Senior Fellow, Urban Institute

We Need to Make the ACO Idea Successful: A Perspective from Kaiser Permanente
Jay Crosson, MD, Director of Public Policy, The Permanente Medical Group; Senior Fellow, The Kaiser Permanente Institute for Health Policy

Health Reform and Medicare: What Does it Mean for a Restructured Delivery System?
Gary S. Kaplan, MD, FACP, FACMPE, FACPE, Chairman and Chief Executive Officer, Virginia Mason Health System

Improving Value in Healthcare
Christopher Tompkins, PhD, Director, Institute on Healthcare Systems, and Associate Professor, The Heller School for Social Policy and Management, Brandeis University

Health Care Reform In A Large National System
Ziad Haydar, MD, MBA, Vice President, Clinical Excellence-Physician Integration, Ascension Health

How will health reform improve quality and increase access?
Elliott S. Fisher, MD, MPH, Director, Center for Population Health, The Dartmouth Institute for Health Policy and Clinical Practice