COVID; Why the Economics of Healthcare Will Never Be the Same | Laura Glenn | TEDxTraverseCity

As a leader in a community health system, Laura talks about how the COVID 19 pandemic has affected the economics of healthcare. Laura Glenn joined Munson Healthcare as the Vice President of the Physician Network in December, 2017. In July, 2019 her role expanded and she was appointed the President of Ambulatory Services and Value Based Care. In this role, she remains responsible for integration of the employed and aligned physician practices across the system. In addition, she is responsible for advancing population health strategies including the Munson Clinical Integration Network and other value based payment models as well as providing leadership to the home health division, MHC’s clinical service lines and clinical business intelligence.
Prior to joining Munson, Laura served as the Senior Vice President & Executive Director of Beaumont Health Physician Partners. In this role, she had responsibility for the integrated Beaumont Medical Group which was comprised of approximately 1,000 employed physicians and 200 advanced practice providers across the 8 Beaumont Health Hospitals and over 180 ambulatory sites across Southeast Michigan. In addition, she was responsible for physician compensation and contracting and led the implementation of the system’s strategies around value based payment models. Laura joined Beaumont Health System as an administrative intern in 2004 and served in numerous leadership roles during her tenure.
Laura received her Masters in Health Services Administration from the University of Michigan School of Public Health and her Bachelors in Health Fitness in Preventative & Rehabilitative Programs at Central Michigan University. She was the recipient of the Centralis Scholar Scholarship at CMU, a full 4-year academic merit scholarship. Laura was named to Crain’s Detroit Business’s “40 Under 40” Class of 2012 and the Oakland County Executive’s Elite 40 Under 40 in 2015. This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at www.ted.com/tedx

[@delbertannis5642]

Greed is unsustainable.

[@ARasputinaFan]

I work in a community MHC and I understand where she's going with the nonprofit thing at the beginning, but then she lost me. Most of our income is from government supported insurance, and now patients don't have to pay copays and insurances aren't paying what they used to before COVID. It's sad, you can't afford to pay the employees you have enough to keep them and now they will be laid off.... The salon I work at part time is also seeing a decrease in income/clients. CARES funding is gone and there is no more help coming. I wish I knew what the future holds...

[@santinorider7536]

'Healthcare Industry" read Healthcare mafia/cartel

[@TwoGrainsOfGold]

She said things I’ve already figured out for myself living here in this country! If you’re covered by an HMO place that Kaiser that profits from NOT providing services, then they’ll NOT give you services with the excuse that they focus on “preventative care”. If you’re at a regular “fee for service” doctors office with that kind of PPO plan, you’ll get upselled like you’re at a car mechanic! Bottom line: Take care of your *own* physical and mental health. As the Jim Caviezel character John Reese says in Person of Interest “In the end, you’re alone, and no one is coming to save you.”

[@d.glasby5117]

Okay, but ironically in Person of Interest, people came to save him, or he saved someone else literally dozens and dozen of times. Like, that happened in almost every episode. I'd argue, too, that in the real world, people save other peoples lives in big and small ways every day. There's no reason to stop striving for better healthcare for more people. Its an achievable goal.

[@rudig5698]

Let’s all recommend this video in 10 years from now, then we can check the information and reflect on it 🤓

[@djStrimmer]

RudiG meanwhile what will change !

[@priority-mediaorfamilysola4416]

0 virus Millions SEE The Grift$

[@cutl00senc]

The most important decision you make every day is what you put into your body. And, the result is either very costly, or not. Until we change the types of things we eat, nothing will get easier or less expensive. McDonald’s (ie Corp America) is killing America.

[@happyg.444]

When you sign up on Medicaid, they will claim all your assets and property when you die. So don't have anything in your name. Experiencing this right now. Look up " Medicaid Estate Recovery". How ironic that this came out today as I am in the midst of dealing with family hardship because of this very system at the moment.

[@pradeepdvaswani-hawk669]

Criminal

[@happyg.444]

@Ariel Lazarus I will be homeless in the near future over this. I have no family left. I've been out here helping take care of him for almost 10 years.

[@stevehain9572]

America: AAAAAHHH!!!! UK: 😂😂😂😂😂 NHS, sorted. Free healthcare for all, properly coordinated without profiteering.

[@rickbartley9255]

This talk dances around the core issue, Healthcare providers want to maintain infrastructure and staff while providing less in delivered services and be paid the same or more than when volumes were higher. In other words, get paid more for line item services. Maybe there should be more shared infrastructure? Perhaps an imaging center or surgical center should be shared by multiple providers in a geography instead of every provider maintaininging their own? Why is healthcare so much more affordable in other countries. Family members and I are ordering some long term medications for chronic issues from India or Europe with cash for much less than we can purchase them here, even with our prescription insurance. Very sad statement for the US healthcare system.

[@bulletnutz6382]

Nice vid! 0-1 dead per day and 1-2 new people per day in to ICU care in Sweden right now - no lockdown, no maskes, no closed schools, no panic, no fearmongering, no wrecked economy, no evictions - just buisness as usual👍

[@user-wf9hm4rr2e]

Strongly agreed, but... In Ukraine, for refusing to wear a mask in a metro station, you can be packed into a madhouse.

[@andrewgonzales1359]

I’ve worked in COVID testing and I’ve had to take and pass an economics course (it was at the AP level, and that was my choice) to graduate. I’ve tried to integrate knowledge in my career, and this also involves a decision making process based on rational choice theory when I have worked in these positions.

[@HarbindBrar]

Damn, this lady is packing some serious HEAT. Look at those guns. 💪🏻

[@JogBird]

the fact that americans call it the healthcare 'industry' is the problem

[@littlestarseed9273]

Smartest thing I heard all day

[@xochitlsouth6409]

Oop-

[@Niscimble]

What is the definition of industry?

[@Menozification]

Seeing shift in response from our doctors. 3 week's for blood work responce even when they say they have results. No call back after 3 calls. No response for bp med renewal now going on 1 week no callback to change supplier from Acme to Wallgreens. Going to run out. Called 2 times no response. Covid. Whats going on?

[@julieeanderson945]

Thanks a lot for making such a wonderful video. I’m looking forward to more informative posts further, and I wish you all the best.

[@ricks8058]

I haven't been to a doctor in 20 years. Thank you salad greens and exercise

[@archenema6792]

Ditto.

[@TheEnigmaticDeenTruth]

Meat never killed anyone 🤷🏿‍♂️...

[@marxistlynchist]

Deen Truth nah commercial meat consumption has been heavily linked to heart disease, the number one killer in the Western world

[@mariliacalixto3093]

Here the same. Greens and exercise. Sixty, healthy, strong and no meds.

[@Niscimble]

You should still get a checkup every once in awhile.

[@nandmuslcofficial3159]

कर्मफल नहीं। इसलिए तुम कर्मफल की आशक्ति में ना फंसो तथा अपने कर्म का त्याग भी ना करो"; 🌻जय श्री कृष्ण राधा ।जय श्री कृष्ण राधा 🌻 👇,

[@jameskulevich8907]

Let’s put down the Cinnabon, shut off Netflix, get down on the floor and start stretching your body. Start a basic exercise program. Take care of yourself, America...

[@JJDPROMEDIAPRODUCTION]

Really???

[@archenema6792]

@@JJDPROMEDIAPRODUCTION Carb guzzling couch potato spotted. 🤣🤣🤣

[@teslagoth9401]

That sounds unAmerican

[@archenema6792]

@@teslagoth9401 Complete abject dependency on others for every necessity of life, as you obviously practice, is the very definition of unAmerican. 🤣🤣🤣

[@teslagoth9401]

obviously? Nice one troll

[@beenright5115]

If efficiency and quality are improved, what is being cut to make that happen? If funding isn't increasing, where are the resources being taken to improve efficiency and quality? Especially since those are often competing goals.

[@railzip]

Great presentation

[@d.glasby5117]

My question would be, isnt this what doctors and specialists are already doing and were doing precovid? Where are the future savings coming from? If you continue to download services to one lower level, or direct more people to urgent care, those positions will begin require additional education and training, - which has many valuable benefits for both employer and employee - but also an expectation of higher compensation. And are there not already urgent care, centres, and little clinics in grocery stores? I'm not entirely sure what value reimbursement is, but it almost sounded like "we aren't doing as much but want the same money because we weren't charging you enough in the first place. '

[@user-Q_MIT_Taiwan]

COVID-19 大家應該專心合一 幫助美國脫離疫情 為全球公民最緊急

[@---ev6xm]

The problem is greedy hospital administration and middle men in the form of pharmacy benefit managers and insurance companies. The most important problem is obesity in America and people not wanting to make lifestyle and diet changes

[@briwood89]

I feel like this is a light threat. Like if you don't do this.. providers might over provide services...

[@missmoxi]

This is all nice, and I'd love to see healthcare move in the direction of quality care over quantity care, but I literally have no idea on how to accomplish this. Some of us aren't physicians and nurses. As a DME provider, I don't know if we'd be able to get away from FFS at all. As it is, we're already getting shafted by insurance companies (including Medicare/caid) when trying to provide patients with medically necessary items. Some items that would actually be beneficial to patients we can't provide because the reimbursement doesn't even cover our cost. What do we do with non-compliant patients or high risk patients? Are healthcare providers going to stop trying to service these types of patients because their outcomes won't be great? I don't necessarily think trying to improve the quality of healthcare is bad, but anything related to insurance companies being able to "bundle payments" or decide what's medically necessary for someone skeeves me out. As it is now, half the time it's a guessing game trying to figure out what you're going to be reimbursed. At least with FFS I have a straight fee schedule to argue.

[@juanbancalero609]

Ohhhh, what a wonderful world! How much effort to keep people healthy and your pockets full o money.

[@coneellegendario7950]

Sería genial que los tradujeran :c

[@Talkinglife]

Nice

[@foursite]

So why not let nurse practitioners work independently in each state? This will help decrease your cost of care delivery in primary care and psych. Good job to the state of Florida!!!!!

[@martinsimensen9511]

😊

[@MONEYANDTIME]

The healthcare system is too inefficient as it is not cost-effective.

[@jhanlozper]

Uau would be increasing the inmigrants nurses, physicians for a low cost

[@Qbabe55]

Most people work hard to find out Medicare is not what you think it would be? I will pay more for the poor population when I worked hard & was a single mother all my life? I am in a higher income due to my family investments but I cannot believe that most Medicare coverages do not cover eyes, dental etc. I have issues with sleeping due to stress & surgeries. When I go to the Dr they just want to put me on more meds? Alternative medicine needs to be on the Medicare formulary. Accupunture massage and exercise classes help people deal with life stresses. Not more medicine that has so many side effects.

[@north_star8]

If we know that greed is truly at the heart of the health care system here in America then maybe we should see covid-19 as a whip being cracked on the american ppl to stop relying on a corrupted system and start taking care of our own health for a change. Everyday is a choice to impact our future health in negative or positive way. Let's start giving ourselves peace of mind for the future and our pockets too.

[@Dreamsinthesky]

👍👍👍👍👍👍👍

[@christophermasterson8753]

But, about contact tracing. Why are the numbers not made public? They would be vary useful in sorting out fake numbers put out from the news, and public medea.,

[@axelbourseaux7222]

lucky i was born in a country where health care is not an industry

[@jplemon607]

Yo

[@gallectee6032]

How does COVID not scare the sht out of people? if it would've had a higher kill count (e.g. 50%) most of us would be dead. We need to do something about factory farms.

[@Alpha-ro8sc]

They hijacked the annual flu season & the world bought it. How does that not scare the feces out of you?

[@hootsmin]

Tha f has it got to do with factory farms eedjit, theres no hard scientific proof of zoonotic transmission. There isn't even any hard proof that virii are real.

[@Jack-hu7cb]

Laura looks like Carrie from Homeland

[@jdgnevada]

✌️

[@brendarua01]

I found this very informative as an explanation of current structures and systems. I have a PC internist and a half dozen specialists ue to on going complications following lymphoma. I spent most of 2018 in a hospital bed. So I saw a lot of what is dicussed here. I just wish that there was more iscussion of the single payer system that the US must turn to if it is to join the rest of the industrialized western word and to deliver on the promise of equal access to health care for all.

[@mba5774]

That arm, her biceps is 2092o2837373733 of mine

[@moonlightboiii]

That was a very good Ted Talk Ms. Laura Glenn! Thanks for sharing that.

[@zacharyabel7725]

Doesn’t Lisa Simpson win Office after the Trump Administration 😂 lol

[@vaper1986]

She has an amazing set of legs, must be the top-notch healthcare and gym membership.

[@allanbarsness6076]

I need my toenails cut,,i am getting ingrown toenails

[@thomasrichardson5425]

She doesn't actually talk about how thing might change until like the last 2 minutes. This video was a total waste of time, just things we already know

[@Caktusdud.]

The economy of the world is at great risk due to lockdown

[@popokatapetl6995]

Eat less

[@Teknokrade]

Bitcoin to the moon ^^

[@Damian-ve5fw]

:)

[@anitamoolman168]

I'm so so sick of all telling us about covid 19 rather spend your money about getting a cure. Here you spending a wast amout on this.

[@priority-mediaorfamilysola4416]

0 virus

[@user-cb9qe8id3z]

ٍ

[@419180able]

Inflation buy bitcoin.

[@Amia_Lily]

A talk about covid and you couldn't be bothered to wear a mask?

[@ashley_roca]

This was filmed without an audience, and they complied with all the safety regulations. Masks are only necessary when you are either in close contact or in a closed space with lots of people.

[@jevasamy]

Healthcare system has crashed in all countries

[@jameskulevich8907]

The price of medicine is sick.

[@liveliferahulathikot4457]

It's not the healthcare care system, it's the enormous boost for research, healthcare system is fine , ofcoz every segment needs growth, but priority was given for finding new viruses and technologies for ease , rather than making the system robust as public demands more fun rather than being more realistic, now the fact is that it's on our everyone's doorsteps and ironically it's hard for the humanity and system to realize it, and even if it gets realized by the system, don't worry they will find a way to wrap you again. Just stay safe and fit till the game is over. Indeed improvement is expected in every segment not only the healthcare,

[@alexalexandru7170]

Everyone read Bible