MediMedia Research Survey
Respondents to the survey of medical directors and chief medical directors officers rated their organization’s commitment to value-based care as high, a development that will mean grappling with the cost implications of clinical policies and practices. A third said a large percentage (41% or higher) of their job concerns the financial performance of their organization.
Legislation & Regulation
Richard Mark Kirkner
Because hospital spending makes up the largest piece of U.S. health care spending—32%, according to data from CMS—any judicial rulings or legislative move to curb a hospital’s market dominance are key to controlling overall health care costs. The FTC is stepping in.

The American Medical Association (AMA) is being inundated by tweets from doctors furious that the organization supports the nomination of Republican House Budget Committee Chairman Tom Price for secretary of the Health and Human Services Department, according to STAT.

Viewpoint
Zachary Hafner

Zachary Hafner
Advisory Board

The transformation of health care is fundamentally altering the environment in which health systems function, placing the CMO squarely at the center of a new reality where concepts like value, population health management, and outcomes-based payment are becoming key drivers of success.

By a 392 to 26 vote, the House of Representatives passed the 21st Century Cures Act, which would speed FDA approval for drugs and medical devices and allow the agency to include real world evidence in the approval process.

ACO Update
Michael D. Dalzell

Gregory Paulson
Trenton Health Team

Applying the ACO framework to Medicaid runs head on into a stubborn challenge: the disproportionate impact of socioeconomic factors on health in the Medicaid population. Poor health outcomes in low-income populations are often exacerbated by unstable employment and housing, transportation difficulties, and lack of access to nutritious food.

Morgan Kendrick, Anthem’s president of national accounts, testified that the plan’s $48 billion proposed merger with Cigna will not undermine competition, as the Justice Department argues in the antitrust suit it brought against the merger.

The decades of good childhood vaccinations have done might not continue apace under the coming Trump administration. The anti-vaccine movement believes that vaccines can cause health problems in children, most notably autism.

Medical Director Profiles
Howard Wolinsky

Neal Kaufman, MD

“My job as CMO is to make sure we’re keeping the patient at the center—that our products make sense to them and to clinicians,” he says. Canary’s programs come from protocols that have been vetted by scientists, clinicians, and patients over many years, if not decades.
Medical Director Profiles
Howard Wolinsky

Steve Miller, MD

“Some days I’m out supporting our sales people and trying to acquire new business. Some days I’m with our legal teams trying to help them decipher new regulations. Some days I am with our supply team group negotiating with the pharmaceutical companies.”
Medical Director Profiles
Howard Wolinsky

Sylvia Meltzer, MD

She was responsible for incorporating the population health perspective in the newly launched Well Priority insurance product created by Aurora and Anthem Blue Cross and Blue Shield in Wisconsin. The companies teamed up to create Wisconsin Collaborative Insurance Company, a joint venture health insurance company.