When you are one, you have only just learned to speak. You move about clumsily and knock things down a lot. You don’t yet know what is possible, but you are burgeoning with life.
More than 500 people crowded into the meeting room of Our Lady of the Rosary Church on Benefit St in Providence for the Worker & Community Speakout for Good Jobs and Quality Care on January 17. At issue was the contract negotiation between Lifespan/Rhode Island Hospital and General Teamsters Local 251 representing some 2,500 hospital employees.
According to Local 251, “As a non-profit entity, Lifespan and RI Hospital are supposed to put the healthcare needs of the community first. Unfortunately, management has taken cost cutting measures, causing shortages in equipment and staff that undermine patient care.”
From the Whitehouse Press office:
New Obama Administration Goals for Medicare Mirror Sen. Whitehouse Recommendations
Senator Whitehouse has Been Urging Administration for Years to Set Clear Goals to Improve Care and Reduce Costs
Goals Resemble the Whitehouse-Steinberg Compact in Rhode Island
Washington, DC – Today the Obama Administration announced that it is setting clear goals and a specific timeline for reforming the way doctors and hospitals are reimbursed when treating Medicare patients. The goals announced today come after U.S. Senator Sheldon Whitehouse (D-RI) has been urging the Administration for years to set clear targets for health care delivery system reforms, arguing as early as 2011 that, “we can and must have a clear challenge to strive toward.”
In 2013 Whitehouse co-authored an opinion piece urging President Obama to set specific goals for reforming payment systems, noting that “at least 75 percent of Medicare payments should be assessed in some way other than fee-for-service” by 2020. Whitehouse also released a report in 2012 chronicling the Administration’s progress in implementing the delivery system reform provisions within the Affordable Care Act, and identifying payment reform as one of five key areas for reform.
“As we continue working to improve the delivery of care and lower costs in our health care system, it’s vital that we set clear, accountable goals,” Whitehouse said today. “Vague calls to ‘bend the cost curve’ will never galvanize our nation’s health care providers and insurers in the same way that specific goals with a number and date will. Today’s announcement by the Obama Administration reinforces the reforms already taking place under the Affordable Care Act and could accelerate the shift to a system that works better for everyone.”
More specifically, the U.S. Department of Health and Human Services (HHS) today set a goal of tying 30 percent of traditional fee-for-service Medicare payments to alternative payment models by the end of 2016, and tying 50 percent of payments to these models by the end of 2018. HHS also set a goal of tying 85 percent of all traditional Medicare payments to quality or value by 2016 and 90 percent by 2018. Whitehouse was briefed by HHS Secretary Sylvia Mathews Burwell in advance of today’s announcement.
Since 2011, Senator Whitehouse has been calling on the Administration to set a specific cost-savings target to drive health care delivery system reform efforts, and has identified payment reforms as one of the key areas in any such effort. More recently, he and Rhode Island Foundation President Neil Steinberg brought together a coalition of Rhode Island health care leaders to develop recommendations on how the state can improve care and lower costs. Among the recommendations they agreed to was to establish specific payment reform goals this year.
Senator Whitehouse has long been a leading voice for health care delivery system reforms. He founded the Rhode Island Quality Institute during his time as the state’s Attorney General, helped secure new investments in Health Information Technology in the American Recovery and Reinvestment Act, and was a strong advocate for the inclusion of delivery system reforms in the Affordable Care Act.
The Knight Foundation took another step forward in its work to bolster U.S. cities recently, by identifying 126 finalists in its Cities Challenge. All 26 of Knight’s communities of focus for the challenge are represented in the pool of finalists and the winners will divvy up $5 million in funding.
Over 7,000 ideas were submitted for the challenge, coming from public and government organizations, design experts, urban planning organizations, and individual citizens.
The Fund for Shared Insight is a new collaborative effort of seven foundations coming together to back “feedback loops” to improve the social sector. The idea is that nonprofits need to do a better job of listening to the people they serve and incorporate that feedback in how they operate. Corporations vacuum up feedback from their customers all the time to improve performance—”please stay on the line to take a short survey”—but the nonprofit sector has been slow to do this kind of thing. Shared Insight hopes to get the ball rolling in a big way.
As the New Year gets underway, we could conjure up a list of “top trends” in philanthropy for 2015 or make a bunch of predictions that we would probably regret twelve months from now, along with all the junk we ate over the holidays.
But we’re going to skip such exercises and instead offer up a quick tour of the obsessions, favorite causes, and pet peeves that we’ll be indulging this year. If you’re still wondering what the agenda is at Inside Philanthropy, you’ve clicked on the right post.
A rising tide lifts all boats, and a recent study shows that as the economy improves, disabled people are enjoying a bump in their employment numbers. The Kessler Foundation wants to jump on that positive wave and ride it for all it’s worth. By expanding training and employment initiatives, the foundation is looking to fund nonprofit disability organizations who want to take their strategy to the next level with more and better ways to hook disabled people up with jobs.