Morning Briefing
Summaries of health policy coverage from major news organizations
Atul Gawande Says U.S. Health System Is 'Very Expensive Pile Of Junk.' As Head Of Billionaires' Initiative, Will He Be Able To Fix It?
It鈥檚 a marquee name for a marquee venture. Amazon, Berkshire Hathaway and JPMorgan Chase, the powerful triumvirate that earlier announced its hope to overhaul the health care of its employees and set an example for the nation, said on Wednesday that it had picked one of the country鈥檚 most famous doctors to lead the new operation. Dr. Atul Gawande, a Harvard surgeon and staff writer for The New Yorker magazine, will become chief executive of the new company, which will be based in Boston, on July 9. (Abelson and Hsu, 6/20)
Berkshire Chairman and CEO Warren Buffett has described health costs as a "hungry tapeworm on the American economy." And the leaders of the three companies see a lot they want to fix, even though they have said little yet about how that will be done. "We said at the outset that the degree of difficulty is high and success is going to require an expert's knowledge, a beginner's mind, and a long-term orientation," Amazon CEO Jeff Bezos said in a statement Wednesday. "(Gawande) embodies all three, and we're starting strong as we move forward in this challenging and worthwhile endeavor." (Murphy, 6/20)
"I have devoted my public health career to building scalable solutions for better healthcare delivery that are saving lives, reducing suffering, and eliminating wasteful spending both in the US and across the world," Gawande said in a press release announcing his new job. "Now I have the backing of these remarkable organizations to pursue this mission with even greater impact for more than a million people, and in doing so incubate better models of care for all. This work will take time but must be done. The system is broken, and better is possible." (Hensley, 6/20)
Choosing Gawande,聽a practicing surgeon at Brigham and Women's Hospital in Boston and a writer for the New Yorker magazine, suggests that the company will be focused on innovation that could聽ripple broadly. Gawande was praised Wednesday by colleagues as a聽creative, visionary leader who has devoted his career to devising health-care solutions that can be widely adopted to improve surgery, childbirth and end-of-life care around the world.聽He is best known for making surgery safer through the implementation of a simple checklist. "He's never one to shy away from a problem, particularly a problem that appears to be unsolvable," said Elizabeth Nabel, the president of Brigham Health. "For Atul, it鈥檚 always about reducing suffering, saving lives and creating efficiencies in the health system. So I think the best is still ahead of him. He's such a creative and talented individual, I think we don鈥檛 know yet what his scalable solutions will be." (Johnson, 6/20)
Gawande is a prominent name in health-care policy circles, though hasn鈥檛 run a major business. Many details of the new venture -- its name, size, budget and authority -- weren鈥檛 immediately available. It will be an 鈥渋ndependent entity that is free from profit-making incentives and constraints,鈥 the group said in the statement. 鈥淎lmost of the same import is who does Atul hire as his COO,鈥 said Vivek Garipalli, the CEO of Clover Health, a closely held health insurer that serves Medicare patients, and has focused on coordinating their care to try and cut costs. 鈥淭hat vision has to be translated by somebody who understands the nuances鈥 of contracting with doctors and hospitals, health insurance markets and other details. (Tracer, Chiglinsky and Davis, 6/20)
In January, Amazon, Berkshire and JPMorgan announced they teamed up to figure out how to reduce health-care costs and improve care for their hundreds of thousands of U.S. employees. The companies said the entity would operate independently and be free from profit-making incentives and constraints. Together, Amazon, Berkshire and JPMorgan have more than one million employees, though not all of them in the U.S. (Wilde Mathews, 6/20)
The Harvard surgeon and author picked to run a heralded new health-care venture has compared the U.S. medical system to a car built with Porsche brakes, a Ferrari engine and a BMW chassis. 鈥淵ou put it all together and what do you get?鈥 Atul Gawande asked the audience at a 2012 TED conference. 鈥淎 very expensive pile of junk that does not go anywhere.鈥 Now the 52-year-old physician is in the driver鈥檚 seat. (Langreth, 6/20)
Atul Gawande has yet to speak out about his plans for leading聽the new Amazon-JPMorgan-Berkshire Hathaway health care organization, but his past speeches and writings provide some clues to what he might do in the job. Here are five key points about Gawande鈥檚 views. (Joseph and Thielking, 6/20)
But with the lofty goal of trying to fundamentally change the financial scope and delivery of healthcare, which effectively is an economy the size of Germany, it would be helpful to have a CEO with more experience managing healthcare businesses and more time to dedicate to the job, said Craig Garthwaite, a health economist at Northwestern University. "I am disheartened to see that he will maintain all these other jobs while running the firm. It is a full-time endeavor," he said. "I don't see how you can have yourself involved in all these other ventures at the same time and be effective." (Kacik, 6/20)