Building Bridges and Forging Ahead: State Innovations for Financing Healthcare Global Budgets
Wednesday, October 19th
9:15 AM-10:45AM
Complexity and variation are hallmarks of America’s health care system that lead to higher cost and poorer outcomes. Single payer is often proposed as the way to streamline payment, simplify the system and provide opportunity to assure that providers have incentives to improve health, lower costs, and improve quality. Several states are considering single payer proposals while others are experimenting with efforts using more standardized approaches to align multi-payers: global budgeting to pay for health care services; multi-payer, statewide community care organizations; and single-payer plans. We will open with the case for single payer and a bill proposed in New York;we will hear from Vermont, the first state to enact single payer, and learn the lessons from that work and the state’s new strategies then discuss with Massachusetts whether and how aligning payers in how care is delivered and financed can reduce complexity and cost and meet some of the goals of single payer.
Moderator: Richard Gottfried
Speakers:
- Robin Lunge
- David Seltz
Richard Gottfried

For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































