tv Health Human Services Secretary Alex Azar CSPAN May 9, 2018 5:42am-6:07am EDT
newsletter gives you the upcoming programming exploring our nation's past. visit c-span.org/connect and sign up today. next, health and human services secretary alex a's are speaks at -- alex azar speaks at the world health congress. it aims to quite data from over one million people in the u.s. to help researchers study health trends. his remarks are 20 minutes.
>> how we are working to transform our health care system into one that pays for value. it will look to medically different from that that we have today. such a system will pay for health based on health. rather than for sickness and procedures. it will deliver better and jeep health care for the people we serve and will support the next generation of chores to diseases once considered terminal. we know that the idea of value-based transformation is not new. president bush and his administration i served and president obama's a ministration -- obama's administration moved
to one that pays for value. i worked to improve this process under mike leavitt. there has been real progress made. there is so much further to go. hhs has often lagged behind the private sector where so many of you have made progress in recent years. everyone here understands the system as it is constructed will not last. something has got to change. during my first 100 days as secretary, i laid out for areas of emphasis. first, maximizing the promise of health id. second, improving transparency in price and quality. third, pioneering bold new models in medicaid and medicaid. for, removing artificial barriers that np care
coordination -- that np -- that impede care coordination. that value is not accurately determined by authorities are central planners. the best way to reward value is a marketplace of many players -- many pairs. -- many payers. progress is already being made on these fronts. you heard from administrative -- administrator irma about blue button 2.0 which will give patients the ability to connect the medicare data to apps. 1.0 with blue button blue button 2.0 may not sound revolutionary. this system is a major step forward to maximize the problem by giving patients access to their own data. it is part of a larger administrative initiative called
my healthy data initiative, which is being run by jared kushner. aims to putive health care data as much as possible in the hands of patients. we have spent more than a decade talking about the importance of interoperability of health records. i spent a long time trying to can agree onw we standards. progress has been made on interoperability, but more importantly, new technology has made it possible for government to be focus on the what and not the how of interoperability. patients also have access to their data however you want to accomplish it. patients must have access to more than their own data. they have to have access in order to drive value, they need
to have access to pricing quality. knowledge is power. knowing price and outcomes can enable americans to find battle -- find better health care. i want to share personal story because it speaks to the powerlessness of today's consumers. we are asking more people to take charge of their own health care decisions. a few years ago, my doctor who gives me terrific care wanted me to do a routine echo cardio stress test. i thought this would just occur in the scope of his practice and i would walk next door and hop on the treadmill. his practice is connected to a major medical center. instead, i was sent a few floors down where i was sat across from a woman who was at a keyboard asking me the same questions i had answered 30 times before. i'm handing over all sorts of
cards and information. before i know it, i have a plastic white wristband around my wrist. to my some eyes -- to my surprise, i just been admitted to the hospital. at the time, i had a high deductible health. when. i was going to be paying for that test out-of-pocket. as someone who works in health care, i knew that the sticker price had just jumped significantly by my walking that little distance from my doctor's andce down the elevator appearing in the cardiac lap. asked how much that test was going to cost. i was told that information is not available. i did not just follow up the -- fall off the turnip truck. i persisted. the manager of the clinic appeared. he gave me the answer.
the list price was $5,500. i knew that was not the right answer. the key piece of information was not the sticker price. it was what my insurance company had negotiated for the rate for that procedure. in other words, what i would pay with cash. that information do not come easily. i'm persistent. eventually, i was told it would be $3500. i happen to know that you can research typical prices for procedures like this on a popular website that is provided by one integrated system. i looked up what it would have cost if i had received this procedure outside the hospital in a doctor's office. the answer was what i had remembered from the past, which is $550. there i was, the former deputy secretary of health and human services for the u.s., that is
the kind of effort it took for me to find out how much i would go for a procedure -- how much i would oh four a procedure. was a parent who distrusted the system. what if i was a twentysomething on a high deductible plan just learning how to navigate through the system? the problem is not just that patients should not have to put up with being so powerless. it is also that we empower them with useful information. probably get the test where it is available for $550. imagine the savings that would have accrued to the entire system if i could have found out where i could of gotten the procedure the cheapest. there is a significant body of academic work on how price transparency can reduce prices. there are plenty of naysayers out there who protest that health care is different.
we know empirically that when we empower health care consumers, market forces do work. one of the largest studies on this issue looked at patients whose employers built a check -- built a price transparency platform. when patients use this platform to research prices, cost drop significantly up to 15% lower for lab tests and up to 16% lower for imaging. another study found that a different price transparency by 20%.ve reduced cost even patients using insurers not participating in savings -- this is one of the areas where medicare can play such a key role because we can drive the system and impact the
competitive free-market. this evidenceve because the private sector has already taken the lead on transparency. we at hhs can play a driving and broader role. in many cases, it is the scale of our programs. if we are not serving as an innovator, we may very well be standing in the way of change. removed -- reveal new steps to provide greater transparency for hospital services. we have proposed that hospitals now be required to post their standard list of charges on the internet in a readable format. rather than just being required to make them publicly available in some form. we know that transparency is going to require going a lot further. we included a request for information on a number of other
transparency issues. addressance, how can we the problem of surprise ability? that ought to be a patient's fundamental right. we want your input on the best ways to get there. the final two areas of emphasis for value-based information are pioneering new models of medicare and medicaid. last week, cms took action. it is been a busy couple of weeks. every week in the future is going to be busy. cms released more than 1000 comments we received from stakeholders regarding a new direction for innovation. while this new direction will involve collaboration and consultation with stakeholders, we are going to think big and bold. comments, wese also released a new request for information regarding the request for direct provider
contract within medicare. and your tremendous interest from patients and providers. they can offer the opportunity for seniors to receive convenient care from a physician they now at an affordable cost. access to primary care can prevent serious and costly on this. we look forward to consulting with all of you on how this and others of these proposals might work. these will be significant steps representing the kind of fundamental rethinking of provider compensation that may help us deliver value. the direct provider contract and proposal reflects our interest in reducing burdens on providers. especially those that may be impeding coordination. we are well aware of the huge burden that regulation places on health professionals. we are working to reduce that burden. alone, cms has been able
to pare back regulations that will save providers more than 4 million hours of paperwork. that is just one example. we have been able to do away thatsome quality measures were no longer telling us meaningful information. over the next several months, you will see continued efforts to reduce the burden of those in our medicaid and medicaid system. reduce unnecessary burden that does not impact price or quality and puts people over paperwork to the tune of billions of dollars in savings. we also want to employ the same kind of thinking to lower the high prices of drugs that burden far too many americans. as part of president trump's plan to put american patients first, hhs is working with the president on solving a number of problems that plagues our markets. including eyeless prices, seniors and government programs overpaying for drugs, rising
out-of-pocket costs for consumers, and governments free writing off of investment and innovation. we are working with the president on a comprehensive strategy to solve these problems. we will be building on the proposals that were already in the president's 2019 budget. the president wants to go further. action is needed. there is little difference for a sick patient between a miracle cure and one that is too expensive. we can lower the cost of medicine while promoting the research that will transform the future of health care. doing both is the only way forward. power that hhset has, the federal government has other important roles to play. as the steward of the largest collector of health care data and the planet. as the largest funder of
biomedical research. cms took an historic step in maximizing the usefulness of all the data it has under its roof. cms will be releasing medi-cal advantage -- medicare emitted. the data is not perfect. we determined the value the research can derive from them far outweighs any concern we have about the quality of the data. we look forward to the insights that academic researchers can provide from examining medicare advantage and counter data. we're not stopping there. we are going to be releasing an medicaid.-- automized these represent millions of patients and chileans of dollars in spending. we believe -- and trillions of dollars in spending. inside each finding derived from this data, there is an opportunity for a provider to
rethink how they deliver care or a business opportunity for a payer or a startup. we look forward to seeing the insights and opportunities it will reveal. one of the unique aspects of the scalems has is this year -- is the scale. by looking at narrower and narrower populations. the national institute of health research program. led by director francis collins,
this weekend in age is opening national enrollment for this program, which aims to enroll one million americans. this is the largest health research effort of its kind ever mounted on earth. it dwarves previous studies. by gathering data on everything from lifestyle and nutrition, to genetics and health care outcomes, all of us will provide unprecedented levels of information about health. we can explore new frontiers of prevention and treatment for americans of all backgrounds. all of us will set a new standard for in -- medical researchers and participants. in age is taking on this program to work together with all of our partners to inform the directions, goals, and practices for responsible handling of research information. this effort includes the hard work and trust among populations historically underrepresented in research. there will be significant benefits to these efforts. enrolling more than one million
americans will enable us nhs to oversample communities will have been underrepresented. this will not be the largest collection of this kind of data in history, it will also be by far the most diverse. think of of a typical health study is being a gallup poll. accurate enough to determine national trends, but not much else. all of us will be more like a census. so much data among smaller unit populations may become apparent. given what we know about how expected it can be to tailor some treatments to individual genetic makeup, this could revolutionize how we treat a range of diseases and diseases. this would not be possible with advanced tell a i.t. it represents one kind of possibility technology can bring to us. the official launch of all of us
will take place at communities across the country. there will be opportunities to sign up, volunteers will be joining. try 5000 participants already in as part of a year-long beta test. i encourage everybody to enroll. regardless of health status, anyone 18 and older can join. this project has the potential to transform medicine as we know it read value-based care is not just about higher quality, not just about lower cost, it is about higher quality. they have the potential to deliver huge advances in the coming years. i want to conclude by laying out why i am so optimistic that we can bring this to transformation health care -- moving beyond words to action. the time has simply come for this to happen. the status quo cannot go. the way we do business in american health care, from insurance and i.t., to drug pricing and patient billing, has to change. today, we have a president who is unafraid to drive the disruption of needs. he is a man of courage and vision, he has seen how high the cost of health care is and it is burdening so many americans. he understand the system to
often fails, he has given us a strong mandate to do something about it. the measures i outlined will get us farther away to inform individuals with high quality and affordable health care. getting to the system is not the most comfortable process for many entrenched players. but, those who are interested in working with us to build a new system will have on unprecedented opportunity at hand. we know change represents opportunity. i exhort all of you to engage with us on the efforts i discussed today, and take advantage of the opportunities they present. in american health care, change is possible, it is necessary, and it is coming. thank you very much for the opportunity to be with you today.
have a great rest of the conference. [applause] [captioning performed by the national captioning institute, which is responsible for its caption content and accuracy. visit ncicap.org] announcer: thursday, health and human services direct their alex azar testifies on his agencies pungent request. live coverage begins at 10:00 a.m. eastern. c-span's washington journal, live it every day with issues that impact you. coming up this morning, discussing president trump's decision on the iran d.l. and trade policy. about the newly formed congressional free thought packet.
then, tuesday nights primary results a.m. what it could mean for the november election. be sure to watch at 7:00 a.m. me eastern this morning. join the discussion. >> coming up wednesday at live at 10:00span networks, a.m. the houses and from morning speeches. later, requirements for injections on antitrust cases. then, continuing the consideration of the kurt engelhard nomination. and on c-span3 at 9:30 a.m., the confirmation hearing for -- forss will -- four
gina haspel. president rohan he said the u.s. has never adhered to its international agreements. event is courtesy iran's 24-hour english news channel. president rouhani: in the name of god the merciful and compassionate. salutations to the prophet of islam. i would like to express my greetings to the great nation of iran and to the courageous people of islamic iran. tonight we witness an important historical experience.