5 Things California: Melanie Fontes Rainer, networking reception, #thosewecarry

If you can join us at our 2018 Northern California State of Reform Health Policy Conference next Thursday, we have a networking reception afterwards that I want to highlight for you.  So, come and join us around 4:00 with other health policy and health care folks.  Have a drink, some great conversation, and solve some of California’s health care problems with us!

Get registered today before our Last Minute prices kick in!


1.  Keynote added: AG Becerra’s chief health policy staffer

We are pleased to tell you that we’ve added a special morning keynote speaker to our Topical Agenda next week!  Melanie Fontes Rainer serves as the Chief Health Care Adviser to Attorney General Xavier Becerra.  She will join us on stage 9:00 am following a Q&A with Senator Ed Hernandez.

We’ll talk with Melanie about the role the AG’s office is seeking to play as a regulator in California health care and about its recent lawsuit claiming Sutter Health is using anti-competitive practices. In light of recent news, we’re very excited to bring you this conversation with one of California’s most senior policy minds in the Attorney General’s office.


2.  “Kind of terrifying stuff, bordering on creepy”

According to a CNBC report, Facebook worked for over a year to develop a partnership with hospitals to match up health data with Facebook user profiles.  The work reportedly continued into last month until the Cambridge Analytica story broke.  Apparently, the intent “was to combine what a health system knows about its patients (such as: person has heart disease, is age 50, takes 2 medications and made 3 trips to the hospital this year) with what Facebook knows” about you.

Notably, Facebook has already secured the personal endorsement of the Interim CEO of the American College of Cardiology, who provided a statement in support of Facebook. That means a lot of stakeholder work has already been done on this project.

Our 10:30am breakout panel on the “Looming Disruption from New Technologies in Healthcare” will discuss how technology and the health care system might and should interact. From apps to tele-medicine to data, this panel will share their thoughts and take your questions.


3.  Video: Nick Macchione, San Diego HHSA

Nick Macchione is the Director of the San Diego County Health and Human Services Agency, which supports 3.2 million people. He’s overseen the adoption of Live Well San Diego, a data-driven strategy to improve population health and social well-being. He joins us in this edition of “What They’re Watching” to discuss paying for performance.

“It’s the outcome that matters most for us that we’re measuring about how we’re driving wellness. So, we’re moving and we’re trying at a local level of trying to move more of our procurements from a cost reimbursement to where it makes sense to a pay for performance model.”


4.  Democratic legislators at State of Reform

We are excited to host six Democratic legislators next week at the State of Reform Conference. Throughout the day, we will feature some of the legislature’s leading voices on health policy who will discuss their policy priorities and their visions for California health care in 2018.

Joining us is Sen. Ed Hernandez, Chair of the Senate Committee on Health, and two members of the Assembly Health Committee — Asm. Cecilia Aguiar-Curry and Asm. Rob Bonta. Also speaking is Asm. David Chiu, Chair of the Assembly Housing and Community Development Committee. Attendees will also hear from Asm. Ash Kalra, who will speak about his new bill regulating health care costs, and Senator Ricardo Lara who is sure to discuss universal coverage.


5.  #Thosewecarry a stirring narrative of provider trauma

The Twitter account The Haunted One and the hashtag #thosewecarry provide a glimpse into the realities health care providers face as they recover from treating patients that don’t make it. They also reveal the system’s shortcomings in addressing provider burnout and emotional and mental health as providers seek comfort online, often anonymously.

We’ve curated some of the tweets at State of Reform, but you might find time to read the other stories of providers – both clinical and administrative (like 911 dispatchers) – dealing with the trauma of lives they couldn’t save.  They’re hard to read, but serve as a reminder of the emotional cost of providing care.

As we think about the Quadruple Aim in health care, and the consequent impacts on our workforce, our 2:45pm panel titled “Building a Workforce that Meets California’s Health Care Needs” will take up some of these topics at next week’s conference.