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The HealthCare Summitv

The HealthCare Summit was founded in 2006 as a forum for experienced health care professionals to discuss and evaluate the cost effectiveness of the United States health care delivery system. The HealthCare Summit is an organization of the general public, non-governmental organizations, health insurance professionals, state government, and public service sector organizations. The membership is highly experienced in dealing with the costs and benefits of health care coverage, access to and quality of health care services.

HealthCare Summit participants believe the way to achieve significant reform is for all participants to accept their responsibility as providers, consumers, insurers and regulators of health care services and to embrace change that establishes measures to ensure a high quality, cost effective system that is financially viable, sustainable and fair. The public and private sectors must also address their responsibilities to provide a system that allows for consumer choice, and emphasizes wellness, prevention, education, and consumer empowerment.

The participants concluded that significant reform was needed in order to improve access to services, improve the quality of those services, and eliminate system waste which created significant financial burdens on users and payers. In 2009, the HealthCare Summit released a report entitled "Guiding Principles to Protect and Improve the Health Status of All Americans" with additional "Federal Reform Proposals."

After release, the HealthCare Summit report and eight federal reform proposals received wide acclaim. Most of the HealthCare Summit federal reform proposals were endorsed by Congress and incorporated into the Patient Protection and Affordable Care Acts (ACA). This includes the Health Care and Education Reconciliation Act amendments, signed into law in 2010.

In 2016, the HealthCare Summit participants reconvened to discuss and evaluate the cost effectiveness, access to and quality of the United States health care delivery system since the enactment of the ACA, and the implementation of other recent Federal and State initiatives.

The 2009 original HealthCare Summit Guiding Principles of reform were:

1. Reform must address and reduce skyrocketing medical care costs.

2. Reform must include transparency of medical information, including cost that will enable treatment choices.

3. Reform must include public and private wellness promotion initiatives.

4. Reform must guarantee that all Americans have access to healthcare coverage, which includes health insurance and other alternatives, and must preserve or improve the current health insurance coverage or alternatives that provides benefits to 85% of Americans.

5. Reform must provide a source of coverage for the uninsurable populations of the United States.

In 2016, after review of the current health care system the HealthCare Summit participants added the following two additional HealthCare Summit guiding principles of reform relating to access and quality:

6. Reform must guarantee that all Americans have access to a “Medical Home,” coordinated by a primary care physician.

7. Reform must ensure that the consumers and treating physicians are the primary health care service decision-makers (not the insurance companies, the corporate owners of health care organizations and institutions, nor the regulatory agencies).

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v Guiding Principles to Protect and Improve the Health Status of All Americans, The HealthCare Summit, Feb.2009; Federal Reform Proposals, The HealthCare Summit, Feb. 2009; Public Law 111-152 (Health Care and Education Reconciliation Act)-2010; Public Law 111-148 (Patient Protection and Affordable Care Act)-2010; CDC, National Center for Health Statistics, May 2016; Publications and multiple studies from the following: The Kaiser Family Foundation, Office of Management and Budget, Maryland Health Care Commission, The Kaiser Family Foundation, California Health Policy Roundtable, Center for Health and Public Policy Studies UC-Berkeley, Council for Affordable Health Insurance, White Collar Crime Division of the Federal Bureau of Investigation, Journal of the American Medical Association (JAMA), Towers Perrin, PricewaterhouseCoopers, Associated Press Graphics MD Liability, National Practitioner Data Bank, Indiana Law Review, Committee on Quality of Health Care in America, Institute of Medicine, J Health Political Policy Law, NEJM, Nation Center for Policy Analysis, California HealthCare Foundation, Center for Studying Health System Change, Mercer Human Resources Consulting, Occupational Health Management, Commonwealth Fund, National Committee for Quality Assurance, Mercer Management Journal, Centers for Disease Control and Prevention, Partnership for Prevention, National Association of County & City Health Officials, American Public Health Association, American College of Physician Executives (now known as the American Association for Physician Leadership), American Academy of Pediatrics, Health Affairs, The Flexner Report, President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research; Public Law 89-97 (Titles XVIII – XX of the Social Security Act-HR 7260) and amendments; Financing of Health Care, 1979; British Medical Journal, May 3 2016; David C. Cassin, et. al., Global Trigger Tool Show that Adverse Events in Hospitals May be Ten Times Greater than Previously Measured, Health Affairs, 30, no 4, 2011; Lisa Rosenbaum, Transitional Chaos or Enduring Harm? The HER and the Disruption of Medicine, NEJM, October 22, 2015; Evan Schuman, CDC on HER errors: Enough’s enough, CDC, July 8, 2014; John T. James, A New, Evidence-based Estimate of Patient Harms Associated with Hospital Care, Journal of Patient Safety, Vol 9, September 2013, p 122-128.

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