{"id":1164,"date":"2021-11-19T14:31:40","date_gmt":"2021-11-19T14:31:40","guid":{"rendered":"https:\/\/artsci.case.edu\/fridaylunch\/?p=1164"},"modified":"2024-06-10T14:32:33","modified_gmt":"2024-06-10T14:32:33","slug":"hospital-boom-and-busts","status":"publish","type":"post","link":"https:\/\/artsci.case.edu\/fridaylunch\/2021\/11\/19\/hospital-boom-and-busts\/","title":{"rendered":"Hospital Boom and Busts"},"content":{"rendered":"\n\n\n
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\nCenter for Policy Studies
\nPublic Affairs Discussion Group<\/span><\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n
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Hospital Boom and Busts<\/strong><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n
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\"headshot\"<\/p>\n

J.B. Silvers, Ph.D. – John R. Mannix Medical Mutual of Ohio Professor and Associate Dean of Finance, Weatherhead School of Management<\/strong><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n
Friday November 19, 2021
\n12:30-1:30 p.m.
\nOnline Zoom Meeting<\/strong><\/span><\/p>\n

Dear Colleagues:<\/p>\n

Greetings, and I hope that you and yours are healthy and safe – and can stay that way.<\/p>\n

As part of being careful to stay safe,\u00a0the \u201cFriday Lunch,\u201d a CWRU tradition since 1989, continues on Zoom<\/strong>. We work to present experts from campus and sometimes beyond to discuss important issues for the university, local community, nation or the international stage.<\/span><\/p>\n

This Week\u2019s Program<\/h3>\n

Health care is a business, a source of incomes and profits and wealth, in any country. But it is more of a business, less constrained by other values and offering many more opportunities for income, in the United States than anywhere else.<\/p>\n

That means that in order to understand the U.S. health care non-system, it\u2019s important to follow the classic advice from the Watergate investigations:\u00a0\u201cfollow the money.\u201d<\/strong><\/p>\n

The health care business is humongously complicated. Pricing, incomes and investment are determined by a weird combination of payers (federal government, state governments, and in the private sector employers), purposes (payment not just for treatment but for research and education), intermediaries (mostly health insurers but for pharmaceuticals the Pharmacy Benefit Managers, PBMs), regulations (such as federal government quality reporting) and market forces (such as the degree of competition and concentration in the market for hospital services, or the ability to vertically integrate in order to induce referrals from physicians to hospitals).<\/p>\n

It also is an arena of continual change driven either by government policies or market innovations \u2013 such as new Medicare payment rules, or<\/span>\u00a0private equity firms<\/span><\/a>\u00a0buying up hospitals, nursing homes, and physician groups, especially groups of<\/span>\u00a0emergency physicians<\/span><\/a>.<\/p>\n

So it is useful even for someone like me, who is supposed to be an expert on health care policy, to occasionally check in on developments in the health care biz and especially the hospital business, as hospitals are still by far the largest component of care and costs. What\u2019s most visible right now is a mix of new construction, such as the Metrohealth rebuilding and Ahuja expansion; hospitals under financial stress<\/span>\u00a0especially in rural areas<\/span><\/a>; and further<\/span>\u00a0consolidation<\/span><\/a>\u00a0with larger systems gobbling up smaller. But why is any of this happening, and what might be its effects?<\/p>\n

These are questions that it makes a lot of sense to ask J.B. Silvers. He is one of the nation\u2019s leading experts in hospital and health care finance, including many years as a member and treasurer of the Joint Commission on Accreditation of Health Care Organizations. And from his term as CEO of the QualChoice insurer to his current position as Vice Chairman of the Metrohealth Board of Directors, he has for decades been a close observer of and participant in the health care business in our region.<\/p>\n

So he will join us to offer some brief remarks about what seem to him to be the most interesting and important current trends and developments. I\u2019ll pose a few questions about what\u2019s puzzling me most. And then we\u2019ll open it up so other participants can take advantage of this opportunity to shed light on the confusing health care world \u2013 or perhaps get even more astonished by what people manage to invent in pursuit of either better health or profit.<\/span><\/p>\n

Signing In<\/h3>\n

This semester’s discussions will begin at 12:30 p.m., the usual time. The meeting will be set up as from Noon to 2:00 p.m., so people are not all signing in at the same time and to allow for the discussion to run a bit long.\u00a0Each week we will send out this newsletter with information about the topic. It will also include a link to register (for free) for the discussion.<\/strong>\u00a0Every Monday the same information will be posted on our website:<\/span>\u00a0fridaylunch.case.edu<\/span><\/a>.<\/p>\n

If you register, you will automatically receive from the Zoom system the link to join the meeting. This week’s link for registration is:<\/span><\/p>\n

https:\/\/cwru.zoom.us\/meeting\/register\/tJMud-6upzsqH91Aaq5mlgZ2KbtkK_PitvLK<\/span><\/a><\/p>\n

After registering, you will receive a confirmation email containing information about joining the meeting.<\/p>\n

Please e-mail<\/span>\u00a0padg@case.edu<\/span><\/a>\u00a0if you have questions about how the Zoom version of the Friday Lunch will work or any other suggestions. Or call at 216 368-2426 and we’ll try to get back to you. We are very pleased to be partnering this semester with the<\/span>\u00a0Siegal Lifelong Learning Program<\/span><\/a><\/strong>\u00a0to share information about the discussions.<\/p>\n

Best wishes for safety and security for you and yours,<\/p>\n

Joe White
\nLuxenberg Family Professor of Public Policy and Director, Center for Policy Studies<\/span><\/p>\n

\n

About Our Guest<\/span><\/h3>\n

J.B. Silvers, Ph.D.<\/strong>, is the John R. Mannix Medical Mutual of Ohio Professor of Health Care Finance and professor of banking and finance at Weatherhead School of Management with a joint appointment in the Case Western Reserve University School of Medicine. His research in the areas of financial management and health services has been published in numerous journals including the\u00a0Journal of Finance<\/em>,\u00a0Financial Management,<\/em>\u00a0Journal of the American Medical, Association<\/em>,\u00a0Medical Care<\/em>,\u00a0Annals of Family Medicine<\/em>, and the\u00a0Journal of Business Research<\/em>, among others. Silvers contributes commentary to public radio\u2019s Marketplace frequently and other national & local print and broadcast media including the New York Times, Business Insider and MarketWatch.<\/p>\n

Professionally, Silvers has testified to Congress, several state legislatures, federal and state courts. He has also served on committees at the National Academies and several national and state commissions. Until recently, he was a board member (12 years) and treasurer of the Joint Committee on Accreditation of Healthcare Organizations (TJC\/JCAHO) and a board member of SummaCare Insurance Company (14 years). For seven years Silvers was a commissioner on the Prospective Payment Assessment Commission (now MedPAC) advising Congress on Medicare payment. From 1997 to 2000, while on leave, he served as President and CEO of QualChoice Health Plan and Insurance Company, a subsidiary of University Hospitals of Cleveland. He currently is vice chair of the board at MetroHealth Medical Center. At Weatherhead, he has served as Department Chair, Senior Associate Dean and Interim Dean.<\/p>\n

Silvers earned a Ph.D. in finance from Stanford University, a MS in Industrial Management and a BS in Engineering Science from Purdue University. He has been a faculty member at Case Western Reserve University since 1979 after prior appointments at Stanford, Harvard, and Indiana.<\/span><\/p>\n

Schedule of Friday Lunch Upcoming Topics and Speakers:<\/strong><\/p>\n

December 3: President Biden\u2019s Trade Policy: Continuity and Change.<\/strong>\u00a0With\u00a0Juscelino Colares, J.D.<\/strong>, Schott-van den Eynden Professor of Business Law.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n
<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n
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Visit the\u00a0Public Affairs Discussion Group Web Site.<\/span><\/a><\/p>\n

Center for Policy Studies | Mather House 111 | 11201 Euclid Avenue |
\nCleveland, Ohio 44106-7109 |\u00a0Phone: 216.368.6730 |\u00a0padg@case.edu<\/u><\/span><\/a>\u00a0|
\nPart of the:\u00a0College of Arts and Sciences<\/u><\/span><\/a><\/p>\n

\u00a9 2021 Case Western Reserve University |
\nCleveland, Ohio 44106 | 216.368.2000 |\u00a0legal notice<\/u><\/span><\/a><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Center for Policy Studies
\nPublic Affairs Discussion Group<\/strong><\/p>\n

Hospital Boom and Busts<\/strong><\/p>\n

J.B. Silvers, Ph.D. – John R. Mannix Medical Mutual of Ohio Professor and Associate Dean of Finance, Weatherhead School of Management<\/strong><\/p>\n

Friday November 19, 2021
\n12:30-1:30 p.m.
\nOnline Zoom Meeting<\/strong><\/p>\n

Dear Colleagues:<\/p>\n

Greetings, and I hope that you and yours are healthy and safe – and can stay that way.<\/p>\n

As part of being careful to stay safe,\u00a0the \u201cFriday Lunch,\u201d a CWRU tradition since 1989,<\/strong><\/p>\n

Continue reading… Hospital Boom and Busts<\/span><\/a><\/p>\n","protected":false},"author":19,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"spay_email":""},"categories":[1],"tags":[],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/artsci.case.edu\/fridaylunch\/wp-json\/wp\/v2\/posts\/1164"}],"collection":[{"href":"https:\/\/artsci.case.edu\/fridaylunch\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/artsci.case.edu\/fridaylunch\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/artsci.case.edu\/fridaylunch\/wp-json\/wp\/v2\/users\/19"}],"replies":[{"embeddable":true,"href":"https:\/\/artsci.case.edu\/fridaylunch\/wp-json\/wp\/v2\/comments?post=1164"}],"version-history":[{"count":1,"href":"https:\/\/artsci.case.edu\/fridaylunch\/wp-json\/wp\/v2\/posts\/1164\/revisions"}],"predecessor-version":[{"id":1165,"href":"https:\/\/artsci.case.edu\/fridaylunch\/wp-json\/wp\/v2\/posts\/1164\/revisions\/1165"}],"wp:attachment":[{"href":"https:\/\/artsci.case.edu\/fridaylunch\/wp-json\/wp\/v2\/media?parent=1164"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/artsci.case.edu\/fridaylunch\/wp-json\/wp\/v2\/categories?post=1164"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/artsci.case.edu\/fridaylunch\/wp-json\/wp\/v2\/tags?post=1164"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}