Pro Pharma Talks Pro Pharma

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1. The science of Covid-19

2. Pneumonia Vaccine

3. Immunocompromised patients do well with most vaccinations including RSV – these patients at increased risk of infections – new research indicates that vaccinations against human papillomavirus, hepatitis B, herpes zoster are not a problem to give

4. Misinformation


Prevention is KEY!
Once you have Covid-19, now what? –
Access
Precautionary responsibility
Super-spreaders

5. Supporting Information



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PP Talks – A Model for High Quality, Low Cost Health Care


Rational -Arguments over ACA indicate that it is worthwhile to find another solution that uses basic principles to deliver high quality at low cost –The Cure That Works, by Sean Masaki Flynn
Message  -- health care first rate, easily accessible, and inexpensive
Singapore health care system
Target – Singapore:  Elements of health care services
Insurance
Examples
US Examples

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1. Who Makes HC Policy?

     a. State differences – access, price and coverage

     b. Individuals affected – 

          i. 17M buy insurance

          ii. 29M don’t have insurance

          iii. MCare & Medicaid not affected – State expansion of Medicaid, but higher rates of inflation in Red States

2. Hospital Closures & Medicaid Expansion

     a. ACA improving health care?

          i. Hospitals closed in States rejecting Medicaid

               1. States expanding Medicaid – lower and falling hospital closures

               2. ACA – improved hospital financial performance w/lower probability of closure for rural markets and counties w/large amt of uninsured

               3. Supreme Court left Medicaid expansion to the States

               4. Hospital closure leads to loss of well-paying and skilled jobs

3. Wall Street – Another Option for Paying For Health Care Benefits

     a. Sell wealth management to individuals

          i. Lower cost method to gain new customers

          ii. Morgan Stanley, Goldman, Fidelity, Charles Schwab, E*Trade, Amazon/JPMorgan/Berkshire Hathaway

          iii. Wall St has the analytics to redeploy investment dollars to benefits

          iv. Same as insurance brokers?

          v. TPA/PBM – middleman model to transactional model

4. Geography Matters – John Wennberg, MD

     a. Dartmouth Atlas of Health Care – cost of living, site of care, volume of services delivered, hospital/MD salaries

     b. Example – 

          i. SF Chronicle reports cost in No. CA 30% > So. Ca d/t UC Berkeley Petris Center on Health Care Markets and Consumer Welfare

          ii. Primary reasons -- D/t consolidation in hospitals, insurance and MD practices b/w 2010-2016 (adj for higher cost of living and wages)

          iii. Result – mergers/acquisitions in health care = HP+PBMs, MD practices, Plans, Pharmacies lead to higher costs

          iv. Marketplace competition, technology, telehealth, international competition, competitor ads leverage cost differences

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