The Latest Developments in U.S. Healthcare Reform

Posted by Mark L. Jones on May 2, 2017 2:29:22 PM


As many of you are now aware, there’s somewhat of a legislative consensus emerging that now includes the House Freedom Caucus on a draft amendment that would resurrect the American Health Care Act (AHCA), which you’ll recall was pulled from the House floor at the last minute just as leaders came to realize they didn’t have the votes in order to successfully repeal Obamacare.

There’s no question that the past few years have been tumultuous for the American healthcare system. Costs and deductibles are rising, coverage is uncertain for many, and most of us have come to the realization that the system as we know it, is simply unsustainable. Healthcare consumers have become increasingly challenged and frustrated by ever increasing costs, difficulty in navigating the system, inconsistent quality and little to no transparency. Whether you’re covered through an employer (170M belly buttons!), an exchange, or Medicare/Medicaid, the overall system is simply not built to support us as Americans. Most alarming, is that healthcare has become the biggest personal finance crisis across our country, including one of the leading causes for personal bankruptcies. Incredibly sad!

There’s no debate that additional “reform” legislation is on the way, whether this will be a full repeal of the 2010 Obamacare that many still view as overly complex, burdensome and confusing 3,000 page bill or some middle ground that “tweaks” certain components in an effort to eliminate multiple pain points and fundamental flaws. Sadly, six years later, as predicted by many health professionals, cost and quality for the most part have not improved for the vast majority of us, and the American public is bearing the consequences.

Americans deserve an accessible and affordable health care system that promotes high quality care, full transparency, offers consumer choice and most importantly – delivers peace of mind. It should be anchored around the physician/patient relationship and support continuous innovation. Sadly, that is not the system we have today. There’s no shortage of disruptive ideas from many stakeholders, including both Republicans and Democrats. What’s needed most is a thoughtful comprehensive (non-partisan) effort with strong national leadership, that unites all these ideas into a new vision and road map that successfully reforms America’s health care system once and for all.

Our nation is at a critical moment in time and history, to take what health care is today and make a gigantic leap forward to achieve a high quality value-based care system, completely integrated, comprised of providers, insurers, researchers, innovators and better informed consumers working together to deliver the best quality care at the lowest cost possible.

Mark L. Jones

Written by Mark L. Jones

Mark is a Senior Vice President for Citra Health, responsible for Strategic Business development and Channel management, based in Charlotte, NC. Mark has over 20 years’ experience in working with large, national and regional clients including health plans and health systems, leading high performing client facing teams to develop and implement long- and short-term business strategies. Encompassing, financial analysis and forecasting, transformation and administration of health and welfare benefit programs. Mark’s expertise covers a range of subject areas including, employer sponsored health and welfare, population health management initiatives, total rewards, consumerism, wellness and ancillary benefits. In addition, Mark has expertise in developing and implementing value based care models including medical home care (PCMH) healthcare delivery solutions. Mark also has experience in Merger & Acquisition projects including overseeing the integration process (Cigna acquisition of Healthsource Provident). He has presented to numerous industry groups including NBGH, ASHRM (hospital industry vertical), and North Carolina Hospital Association. Mark’s consulting clients have included: Partners Healthcare, UNC Rex Healthcare, Wake Forest Baptist Medical Center, HMSA (BCBS Hawaii) Boston Scientific Corporation, Evolent Health and CaroMont Healthcare. Mark has a MBA degree in finance from the University of New Hampshire. He is also a Certified Financial Planner. Mark is a Member of the American College of Financial Planners and has a Six Sigma Green Belt.

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