Segments in this Video

Debate "Housekeeping" (04:58)


Moderator John Donvan frames the debate on retail alliances and the U.S. health care system, and introduces panelists.

Opening Statement For: W. Gregg Slager (06:36)

Senior Partner and Global Health Transactions Leader, Slager cites problems with the health care system. Costs are out of control and outcomes rank last among comparable countries. Consumer centric health care alliances will enhance customer experiences and encourage innovation.

Opening Statement Against: Lisa Bielamowicz (06:03)

Gist Healthcare Co-Founder and President, Bielamowicz shares a story about taking her child to the CVS Minute Clinic. She cites two things retailers would need to do to transform health care and provides insight on health system strategies.

Opening Statement For: Rajaie Batniji (06:19)

Collective Health Co-Founder and Chief Health Officer, Batniji states that Washington is broken and cannot save the health care system. He describes employers and retailers as "beacons of hope."

Opening Statement Against: Rosemarie Day (06:40)

Day Health Strategies Founder and CEO, Day states that innovative treatments are out of reach for 28 million uninsured Americans. Approximately 82 million insured Americans defer care because of costs. Retail is not enough to address access, cost, and quality of health care. Government must be part of the solution.

Retail Company Loyalty and Trust (06:19)

Donvan summarizes opening statements. Slager believes retailers provide choice and are building trust. Bielamowicz agrees choice is important but questions whether that will change cost drivers in health care. Batniji cites Bielamowicz's article about retailers and primary care.

Benefits vs. Scale (02:10)

Slager believes retailers can address the size of the health care system problem; getting care to communities is important. Day argues that retailers try not to locate in underserved areas.

Retail Skills (03:53)

Batniji discusses retail's relationship with consumers and argues the need for a retail approach to health care. Bielamowicz disagrees with calling the Surgery Center of Oklahoma a retail business.

Aligned Incentives? (06:45)

Day defines "customer"; she and Slager debate access to care. Batniji states that employers are the largest payer in the health care system; Day counters that government has more influence on prices. Panelists debate control and power.

Q/A: Homeless and Under-served Americans (03:17)

Slager believes government has a role in health care; Day agrees with addressing social care. Batniji cites change in distribution. Bielamowicz wants a federally qualified health center for the homeless.

Q/A: Comprehensive Direct Primary Care? (01:31)

Employers are increasingly offering comprehensive care facilities.

Q/A: Transforming Clinical Care (03:24)

Slager expects retail to evolve; some entities become community centers. Day does not see a true community; government has been responsible for innovation.

Q/A: Financial Dynamic (03:11)

Slager believes that a retailer freeing disposable income is a positive change. Bielamowicz questions whether retail is a good partner for serious health issues.

Concluding Statement For: Slager (02:29)

Imagine a 56-year-old woman with diabetes and high blood pressure who is on a fixed income. Slager explains her care scenario with a retailer.

Concluding Statement Against: Bielamowicz (02:15)

Society is far from having retailers that can provide comprehensive health services. Retailers can provide convenient care, but can they tackle large cost drivers in the system?

Concluding Statement For: Batniji (02:09)

Batniji recognizes the need for transformation in the health care system and admits to being part of the problem as a doctor. He defines what it means to save the system.

Concluding Statement Against: Day (02:24)

Imagine a 50-year-old single mother with no health insurance and fainting spells. The government, insurers, and retailers come together to make her experience a success story.

Time to Vote (03:34)

Donvan thanks panelists for their participation and instructs audience members to vote. The panelists consider whether opponent arguments changed their minds.

Audience Vote Results (01:10)

Pre-Debate - For: 30% - Against: 36% - Undecided: 34% Post-Debate - For: 49% - Against: 47% - Undecided: 4%

Credits: Retail Alliances, Not Washington, Will Save the U.S. Health Care System: A Debate (00:09)

Credits: Retail Alliances, Not Washington, Will Save the U.S. Health Care System: A Debate

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Retail Alliances, Not Washington, Will Save the U.S. Health Care System: A Debate

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Despite efforts by Republicans in Washington to repeal and chip away at the Patient Protection and Affordable Care Act (ACA), the landmark health care law passed by a Democratic-controlled Congress in 2010 remains in effect. The ACA has provided millions of Americans with subsidies to obtain medical insurance and gain health care. But the U.S. health care system remains mired in problems: It is complicated, expensive, and challenging to reform. Does the solution lie in the private sector? Corporations and financial firms are now getting into the act, with companies like Amazon, Berkshire Hathaway, and JPMorgan Chase aiming to form a retail alliance, as well as CVS and Aetna, and Humana and Walgreens. Will these market-driven alliances improve health care in the United States? Proponents argue that the bargaining power and data competencies of these huge retailers will squeeze middlemen out of an inefficient supply chain and bring more transparency to health care pricing. But opponents argue that the promise of these novel efforts is overstated or misguided, particularly because the health care industry is so massive and complex. Will retail alliances save the U.S. health care system?

Length: 76 minutes

Item#: FMK165888

ISBN: 978-1-64481-281-5

Copyright date: ©2018

Closed Captioned

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