Managed Care - August 2012 - (Page 26)
A Conversation With Sharon Levine, MD
ACos can learn from successes and mistakes of managed care, says Kaiser Permanente physician leader
Northern California, she is also on the boards of the Reagan-Udall Foundation, and the Public Health Institute of California. She is a member of the California Medical Board and an adjunct associate at the Center for Health Policy/Center for Primary Care and Outcomes Research at Stanford University. Levine joined the Permanente Medical Group in 1977 and served as chief of pediatrics, chief of quality, and physician in charge of the Fremont Medical Center before her current role. She also practiced at the Montgomery-Georgetown Pediatric Comprehensive Care Clinic, held academic appointments at Tufts University School of Medicine and Georgetown University School of Medicine, and spent two years as a clinical associate at the National Institute of Child Health and Human Development. Levine earned her undergraduate degree from Radcliffe College and her medical degree from Tufts University School of Medicine. She spoke recently with Managed Care Editor John Marcille.
MANAGED CARE: How would you describe the
Last Chance to Avoid Drastic Measures?
aiser Permanente executives get asked often: Are you going to become an ACO? The answer, says Sharon Levine, MD, associate executive director of the Permanente Medical Group of Northern California, is that “for more than 50 years, we have been an accountable care organization — small ‘a,’ small ‘c,’ and small ‘o.’” Physicians, hospitals, and the health plan succeed or fail based on the success of each other, she says. “Because of the way we are organized, all of the partners — physicians, hospital and health plan staff — understand what our accountabilities are — accountabilities to our members and patients and accountabilities to one another.” And while it will take a lot of work to replicate that in the rest of health care, getting it right this time is important. “The country has lost patience with what is happening in health care and the consequences to our schools, our communities, and our infrastructure, which essentially have been robbed to continue to feed the health care enterprise,” Levine says. “It is incumbent upon all of us to ensure that these new arrangements are going to deliver better care, more appropriate care, and less inappropriate care at a much lower rate of growth in health care costs.” Levine, a pediatrician, is on the board of governors of the Patient-Centered Outcomes Research Institute and is a member of the Committee on Evidence-Based Benefit Design of the National Business Group on Health. Named 2012 Woman of the Year by Women Health Care Executives of
goals for ACOs as envisioned by the Affordable Care Act? ShARoN LEviNE, MD: Congress asked CMS to move the Medicare program from where it is today — on a pure fee-for-service chassis, with payment for volume, not health outcomes, that requires both physicians and hospitals in many
MANAGED CARE / AUGUST 2012
Table of Contents for the Digital Edition of Managed Care - August 2012
Managed Care - August 2012
Legislation & Regulation
News & Commentary
Private Exchanges: Practice Makes Perfect
Hospitals and Providers Ganging Up on Plans?
Q&A: Kaiser Permanente’s Sharon Levine, MD
God Save the Health Care System!
Future Points to Greater PBM/Plan Cooperation
Managed Care - August 2012