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Kenan Institute 2022 Grand Challenge: Stakeholder Capitalism
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Market-Based Solutions to Vital Economic Issues

healthcare

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It is probably not a mystery to even the most casual observer of political affairs why the historic climate, health care and tax bill signed earlier this month was dubbed the Inflation Reduction Act. Inflation is high and causing real problems for many households, and so if only Congress could legislate it away by enacting … This is not to say that the package does not deserve any enthusiasm; it is an impressive legislative feat, making significant, though imperfect, advances on health care and climate change. On the other hand, the effect it will have on inflation, its raison d’être in name, will be modest at best and occur only over time.

For more than a year, researchers across the University of North Carolina at Chapel Hill’s (UNC) Kenan-Flagler Business School (KFBS) and School of Medicine (SOM) worked with Sharecare, Inc. (Sharecare) to establish a framework for measuring the true value of corporate well-being interventions and develop a measurement tool to quantify their impact over time. The goal of the research was to assess the value of implementing corporate well-being interventions to improve employee health and lower direct medical costs to employers.

Economic theory holds that competition drives innovation, improves the quality of goods and services, and lowers prices for consumers. Health care delivery is no exception.

The coronavirus disease 2019 pandemic has brought into focus the limits on flexibility and innovation associated with market consolidation in care delivery. While anecdotes about the ossification in care delivery predominate, broader economic indicators point to the negative outcomes of consolidation.

There are bipartisan Medicare payment proposals that would reduce Medicare payments included in previous Obama and Trump budgets that could go a long way to filling the budget shortfall. While previous policy proposals either proposed new revenue sources or payment reductions, recent policies are pragmatic in nature and attempt to modify either beneficiary or provider behavior.

Background: Influenza imposes heavy societal costs through healthcare expenditures, missed days of work, and numerous hospitalizations each year. Considering these costs, the healthcare and behavioral science literature offers suggestions on increasing demand for flu vaccinations. And yet, the adult flu vaccination rate fluctuated between 37% and 46% between 2010 and 2019.

Aim: Although a demand-side approach represents one viable strategy, an operations management approach would also highlight the need to consider a supply-side approach. In this paper, we investigate how to improve clinic vaccination rates by altering provider behavior.

With the upcoming November election and calls by President Trump for 1 or more vaccines for coronavirus disease 2019 (COVID-19) to be ready before the end of the year, if not by the election, many have started to wonder whether the US Food and Drug Administration (FDA) can withstand this type of political pressure.

Still in its infancy, the Hospital Compare overall hospital quality star rating program introduced by the Centers for Medicare & Medicaid Services (CMS) has generated intense industry debate.

Sep 10, 2020

Stuck in Phase 2.X?

September 13 will mark six months since U.S. President Donald Trump declared a national state of emergency in response to the COVID-19 a national pandemic.  And here in North Carolina, Governor Roy Cooper announced last week that the state will transition to “Phase 2.5,” with further easing of restrictions on certain places and types of activities including mass gatherings, playgrounds and gyms, but with other restrictions – such as those on bars and entertainment venues – remaining in place. It seems like a good time to take stock of where we’ve been, where we are now and what lies ahead.

As the country reopens, it’s important to assess how we can be better prepared to stave off such enormous economic losses during the next wave or the next epidemic.

This is the first part of a two-part post discussing the current state of health reform and where we should go from here. Part I examines the effects of the ACA and progressive reform initiatives. Part II will outline a market-driven path forward.

In this week’s commentary, we’ll discuss North Carolina’s health statistics and current developments in the economic landscape, and offer some thoughts on the reopening of schools and universities.