Policymakers know healthcare spending must be addressed if the nation's economy is to improve. Tim Pawlenty, former governor of Minnesota said leadership is the main ingredient required for making the quantum changes needed to improve the healthcare system.
Policymakers know healthcare spending must be addressed if the nation's economy is to improve. Tim Pawlenty, former governor of Minnesota said leadership is the main ingredient required for making the quantum changes to improve the healthcare system.
"If we don't fix this in the next five or seven years, it's going to take down our ability to function as a government," he said.
He outspokenly recommends a full repeal of the Patient Protection and Affordable Care Act (PPACA). The federal government is limiting options, regulating the system's framework to the point of stifling innovation, and taxing Americans all the more, he said.
"Repeal the whole thing and start over," he said. "Twenty years from now, it will be viewed as one of the worst mistakes in the country."
Sooner than that, the healthcare system will be completely bankrupt, and it continues to drain the nation's economy, further increasing the debt. Overall, the federal government is spending $40,000 per second that it doesn't have, he said.
He also indicated that a new healthcare policy proposal will be introduced this summer that will include preservation of Medicare for current beneficiaries, plus new options for future enrollees. The new options will also be coupled with incentives to drive those on Medicare toward the most cost-effective choices. Payment reform that moves away from volume-based reimbursement and toward outcomes-based reimbursement will be included, he said.
While PPACA contains some market-based initiatives, he believes they're not going to be effective.
"Exchanges will have no discernable impact on cost," he said. "We have an exchange, and it's called the market. This is America. It's not Europe."
Conversations With Perry and Friends: Paul Fronstin, Ph.D.
May 9th 2025Perry Cohen, Pharm.D., a longtime member of the Managed Healthcare Executive editorial advisory board, is host of the Conversations with Perry and Friends podcast. In this episode, his guest is Paul Fronstin, Ph.D., director of health benefits research at the Employee Benefit Research Institute.
Listen
Conversations With Perry and Friends
April 14th 2025Perry Cohen, Pharm.D., a longtime member of the Managed Healthcare Executive editorial advisory board, is host of the Conversations with Perry and Friends podcast. His guest this episode is John Baackes, the former CEO of L.A. Care Health Plan.
Listen
Lenacapavir HIV PrEP: Not an AIDS Vaccine, but Vaccine Adjacent
June 19th 2025Experts and advocates say that twice-a-year HIV PrEP injections have the prevention potential of a vaccine — and that a once-a-year version of lenacapavir would be even better. But will Yeztugo be available to the people who would benefit most from HIV PrEP?
Read More