Perspectives on the Shifting US Health Landscape
April 7, 2015
Perspectives on the Shifting US Health Landscape: Leading Policymakers, Professionals and Providers Debate the New Geography Shaping Health in America
Despite spending more money on health care than any other nation, the US performs poorly on a number of population health indices, in part because it under-invests in public health efforts such as disease prevention programs.
Major transitions are underway however, with hospitals shifting from in-patient volume to an emphasis on the value of services they provide, insurers supporting trends away from acute care delivery to community-based care and prevention, and informed consumers playing a more central role.
Health reform in the Affordable Care Act (ACA) recognizes the importance of public health services that are often ‘hidden’ from the public, less visible than hospitals or the latest technology or medication. Examples include some key preventive services that have no out-of-pocket expenditures and the Prevention and Public Health Fund established by the ACA.
This event explored the drivers of these tectonic shifts, how they affect public health, and the best way to get what our dollars should buy: a healthier population, instead of one that ranks 17 among high income countries for life expectancy at birth. What is at stake as we implement reforms? How do we ensure we get it right and what are the consequences of getting it wrong? What role does compromise among those with disparate perspectives and rigorous evaluation of outcomes play in increasing our chance of success?
Sec. Kathleen SebeliusPhoto credit: Adeline Heymann
Steve McMahon, Sec. Kathleen Sebelius, Rep. Eric CantorPhoto credit: Adeline Heymann
Steve McMahonPhoto credit: Adeline Heymann
Rep. Eric CantorPhoto credit: Adeline Heymann
Weissberg Forum ParticipantsPhoto credit: Adeline Heymann
Mary LangowskiPhoto credit: Adeline Heymann
Sec. Kathleen Sebelius with Steve McMahonPhoto credit: Adeline Heymann
Sec. Kathleen Sebelius, Steve McMahon and Rep. Eric CantorPhoto credit: Adeline Heymann
Rep. Alma AdamsPhoto credit: Adeline Heymann
Dean Sherry GliedPhoto credit: Adeline Heymann
Sec. Sebelius with NYU Washington, DC StudentsPhoto credit: Adeline Heymann
NYU Washington, DC StaffPhoto credit: Adeline Heymann
Alum Mike Rettig talks with Assistant Director Tom McIntyrePhoto credit: Adeline Heymann
Guests speak with Associate Dean Ann KurthPhoto credit: Adeline Heymann
Guests Speak with Dean of GIPH, Cheryl HealtonPhoto credit: Adeline Heymann
Ann Kurth and Matthew SantiroccoPhoto credit: Adeline Heymann
Sec. Sebelius speaks with studentsPhoto credit: Adeline Heymann
Sec. Sebelius speaks with NYU Washington, DC studentsPhoto credit: Adeline Heymann
Rep. Eric Cantor speaks with Steve McMahonPhoto credit: Adeline Heymann
3rd Annual Weissberg ForumPhoto credit: Adeline Heymann
CSPAN films the Weissberg ForumPhoto credit: Adeline Heymann
Rep. Tom Coleman speaks with Rep. Eric CantorPhoto credit: Adeline Heymann
Steve McMahonPhoto credit: Adeline Heymann
Weissberg Forum DiscussionPhoto credit: Adeline Heymann
Meet the Panel
Eric Cantor, Former U.S. Representative (VA-7) and House Majority Leader
Mr. Cantor was formerly United States Representative for Virginia’s 7th Congressional District and House Majority Leader. He served in the U.S. House of Representatives between 2001-2014. He was elected by his colleagues in the House to serve as the Majority Leader for the 112th and 113th Congresses where he led the public policy agenda for the House. During his time in office, Mr. Cantor was a leading voice on the economy, job creation and policies focused on improving the lives of the American middle class. He championed pro-growth solutions including lowering taxes, eliminating excessive regulation, strengthening businesses, and encouraging entrepreneurship. He was also regularly featured in publications focusing on a wide range of topics including both domestic and international matters. Mr. Cantor received his undergraduate degree from The George Washington University, his law degree from The College of William and Mary, and his master’s degree from Columbia University in New York.
Kathleen Sebelius, Former Secretary of Health and Human Services
Kathleen Sebelius is one of America’s leading voices on health policy, health care reform, and human service delivery. From April 2009 through June 2014, she served in President Barack Obama’s Cabinet as Secretary of the United States Department of Health and Human Services, where she oversaw a trillion-dollar budget and a staff of nearly 90,000 employees. The agencies in the Department include the Centers for Medicare and Medicaid Services, the National Institutes of Health, the Centers for Disease Control and Prevention, the Food and Drug Administration, the Office of the Surgeon General, the Office of Head Start, and numerous others.
From 2003 to 2009, Sebelius served as Governor of Kansas, where she was named one of America’s Top Five Governors by TIME magazine. From 1995 to 2003 she served as the elected Insurance Commissioner of Kansas. Before serving in statewide office, Sebelius served four terms in the Kansas Legislature.
Sebelius has led ambitious efforts to provide all Americans with the opportunity to live happier, healthier, and more successful lives: from her high-profile work on the Affordable Care Act; to her national leadership on early childhood initiatives, women’s health, tobacco control, and mental health parity; to her global leadership on issues like HIV/AIDS, polio, prevention of chronic diseases, and global health security.
She has touched millions of lives through her work to deliver services to some of our country’s most vulnerable populations, including Americans living with disabilities, seniors, children, First Americans, LGBT populations and refugees. Under her leadership, the Department of Health and Human Services launched a comprehensive effort to close health disparities for minority and marginalized populations.
As secretary, Sebelius led the President’s charge for the passage of the Affordable Care Act (“Obamacare”), the most significant health reform in half a century. After the bill became law in 2010, she led implementation efforts, which included a Patient’s Bill of Rights for already-insured Americans, a multi-sector effort focusing on disease prevention, the strengthening of Medicare by adding benefits and lowering costs, expansion of CHIP and Medicaid, and the creation of a new national Health Insurance Marketplace, which enrolled 8 million consumers in 2014.
Also as secretary, Sebelius launched reforms to our nation’s health delivery system that are already improving the quality of care patients receive while driving down costs. She championed health care providers’ conversion to electronic health records and led efforts to unlock and use Department of Health and Human Services data to drive innovation and empower consumers.
Sebelius has championed new public-private strategies to bring life-saving drugs and devices to market and to accelerate the microscope-to-marketplace pipeline for new cures. During her tenure as secretary, she oversaw the development of a 21st century food safety system and the establishment of new regulatory authority over tobacco products.
She was in charge of the nation’s public health response to natural disasters as well as emerging epidemics, including the Haiti earthquake and the H1N1 flu outbreak.
Forbes named Sebelius one of the 100 most powerful women in the world.
Sebelius is the first daughter of a governor to have been elected governor in American history; her father John Gilligan served as Governor of Ohio from 1971 to 1975. She holds a master of public administration degree from the University of Kansas and a bachelor of arts degree from Trinity Washington University.
Dr. Alma S. Adams, U.S. Representative (NC-12)
Dr. Alma S. Adams was elected to her first term representing the 12th Congressional District of North Carolina on November 12, 2014. Representative Adams was elected in a special election and was sworn in immediately, making her the 100th woman elected to Congress, the most in U.S. history. Representative Adams sits on the Committee on Education and the Workforce, is part of the Women’s Caucus, Congressional Progressive Caucus and Art Caucus. Congresswoman Adams also serves a leadership role in the Democratic Caucus as Vice President for the 114th Congress’ freshmen class and serves as one of the Regional Whips of the Caucus.
Throughout her career, Representative Adams has promoted quality education for all students, spearheading legislation to boost funds for Historically Black Colleges and Universities and provide nutritious breakfasts in schools, while supporting increased pay for teachers. For 40 years, Dr. Adams taught Art History at Bennett College. While at Bennett, she led the effort to increase student civic participation. Dr. Adams coined the phrase “Bennett Belles are Voting Bells” and organized a yearly march to the polls. As a former educator, Rep. Adams has dedicated her career to improving the lives of young people and her community.
In 1994, Representative Adams was appointed by her peers to serve in the North Carolina House District 26 seat. She went on to serve ten terms in the state House. During her tenure, she rose to become the chair of the North Carolina Legislative Black Caucus and was instrumental in passing legislation that improved the climate for quality affordable health care in the state. A working mother of two, Alma pioneered the Displaced Homemakers Bill and successfully spearheaded the state’s first minimum wage increase in nine years.
Before serving as a member of the North Carolina General Assembly, Congresswoman Adams became the first African American ever elected to the Greensboro County School Board. It was at that time that she made a lifetime commitment to effecting social change in her community and beyond.
Congresswoman Adams has one daughter, Linda Jeanelle Lindsay and one son Billy E. Adams II. Adams graduated from North Carolina A&T State University in 1968 and received her master’s degree in Art Education in 1972. She earned her Ph.D. in Art Education and Multicultural Education from The Ohio State University in Columbus, Ohio in 1981.
Mary Langowski, Executive Vice President for Strategy, Policy and Market DevelopmentCVS Health
Mary Langowski is Executive Vice President for Strategy, Policy and Market Development for CVS Health. In this role, she leads the team responsible for navigating complex and dynamic policies, regulations and market trends as CVS Health identifies and expands opportunities in new markets to drive growth.
Langowski has a track record of helping clients translate nuanced public policy into actionable business strategy. She has a deep understanding of the political landscape, and expertise in analyzing and shaping health care policy at every level of government.
Prior to joining CVS Health, Langowski was with the international law firm DLA Piper where she served as the chair of their Health Care Policy and Regulatory Practice and as the co-chair of their Food and Beverage Sector. Prior to that, she served in senior positions at Alston & Bird and Sonnenschein, Nath & Rosenthal where she provided strategic counsel to clients with a special focus on health care. In addition to her private sector experience, Langowski served as a senior health care policy advisor for U.S. Senator Tom Harkin and was the chief policy advisor at the Iowa Department of Public Health under Governor Tom Vilsack.
She earned a B.A. and M.P.A from Drake University and a J.D. from the University of Iowa College of Law.
Sherry Glied, Dean and Professor of Public Service, NYU Robert F. Wagner Graduate School of Public Service
In 2013, Sherry Glied was named Dean of New York University’s Robert F. Wagner Graduate School of Public Service. From 1989-2013, she was Professor of Health Policy and Management at Columbia University’s Mailman School of Public Health. She was Chair of the Department of Health Policy and Management from 1998-2009. On June 22, 2010, Glied was confirmed by the U.S. Senate as Assistant Secretary for Planning and Evaluation at the Department of Health and Human Services, and served in that capacity from July 2010 through August 2012. She had previously served as Senior Economist for health care and labor market policy on the President’s Council of Economic Advisers in 1992-1993, under Presidents Bush and Clinton, and participated in the Clinton Health Care Task Force. She has been elected to the Institute of Medicine of the National Academy of Sciences, the National Academy of Social Insurance, and the Board of AcademyHealth, and has been a member of the Congressional Budget Office’s Panel of Health Advisers.
Glied’s principal areas of research are in health policy reform and mental health care policy. Her book on health care reform, Chronic Condition, was published by Harvard University Press in January 1998. Her book with Richard Frank, Better But Not Well: Mental Health Policy in the U.S. since 1950, was published by The Johns Hopkins University Press in 2006. She is co-editor, with Peter C. Smith, of The Oxford Handbook of Health Economics, which was published by the Oxford University Press in 2011.
Glied holds a B.A. in economics from Yale University, an M.A. in economics from the University of Toronto, and a Ph.D. in economics from Harvard University.
Michael Tanner, Senior Fellow, CATO Institute
Cato Institute senior fellow, Michael Tanner heads research into a variety of domestic policies with a particular emphasis on health care reform, social welfare policy, and Social Security.
Most recently, Tanner co-edited Replacing Obamacare: The Cato Institute on Health Care Reform, a compilation of the Cato Institute’s work over the past several years on health care reform and Obamacare, with contributions by over a dozen national experts, including Tanner himself. He is also the author of numerous books on public policy, including Leviathan on the Right: How Big-Government Conservatism Brought Down the Republican Revolution (2007, Healthy Competition: What’s Holding Back Health Care and How to Free It (Second Edition, 2007), The Poverty of Welfare: Helping Others in Civil Society (2003), and A New Deal for Social Security (1998). Tanner’s writings have appeared in nearly every major American newspaper, including the New York Times, Washington Post, Los Angeles Times, Wall Street Journal, and USA Today. He writes a weekly column for National Review Online, and is a contributing columnist with the New York Post. A prolific writer and frequent guest lecturer, Tanner appears regularly on network and cable news programs.
Under Tanner’s direction, Cato launched the Project on Social Security Choice, which is widely considered the leading impetus for transforming the soon-to-be-bankrupt system into a private savings program. Time Magazine calls Tanner, “one of the architects of the private accounts movement,” and Congressional Quarterly named him one of the nation’s five most influential experts on Social Security. The New York Times refers to him as “a lucid writer and skilled polemicist.” Before joining Cato in 1993, Tanner served as director of research of the Georgia Public Policy Foundation and as legislative director for the American Legislative Exchange Council.
NYU Faculty Participants
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