Although the American people appear divided, we are more alike than different and share common interests and needs.  Quality healthcare, affordable medication, social insurance, and sustainable jobs are important to most, if not all of us; so is the security of knowing that the safety net will be there if and when we need it. Please watch the short videos below to learn about challenges facing safety net programs across the nation and’s response.

The Challenge

To hear the panel’s response, click HERE.

Our Response

PHIER-powered Health Homes are the perfect response to the “Repeal and Replace” and entitlement conundrum now facing our nation.  

Why?  Because it can reduce health care costs while creating jobs that improves access, quality and timeliness of healthcare offered to the 99%.

 What is PHIERS?
  • A sustainable jobs plan which strengthens the safety net and economy, so cities and states can better meet rising demands.
  • A provider of tools, training, resources and support networks that enable safety net programs to collaborate on behalf of high-risk populations with complex health and social issues.
  • A bulk buying club, that negotiates for and shares lower drug prices with patients and payers – like Medicare and Medicaid – to help increase the solvency of care.

By training un(der)-employed health and social workers to coordinate care and transportation for veterans and dual eligible beneficiaries, enough savings can be generated to provide each patient in our network with a low cost, personalized medical home. We will accomplish this goal by creating jobs which do just that, by training and certifying job seekers and the un(der)-employed in using VistA to coordinate care for patients living with one or more chronic or infectious diseases.

To accomplish this goal, our program will enable public health and social workers to:

  1. Keep the patient’s secure health record up to date and in sync, yet easily accessible – with the patient’s consent.
  2. Coordinate care and transportation for patients with complex health and social issues.
  3. Leverage the strengths of the community and its bulk-buying power to improve care plan adherence while negotiating for lower drug prices on behalf of patients; this will reduce costs to Medicare/Medicaid while simultaneously increasing its future stability.
Follow the math:

In the United States, chronic illnesses such as heart disease, cancer, diabetes, stroke, and chronic lung disease account for 70% of deaths and 75% of health care costs.  

According to a recent Health Affairs study, “health care spending in the United States is widely deemed to be growing at an unsustainable rate.  A key target is eliminating waste–spending that could be eliminated without harming consumers or reducing the quality of care that people receive.  According to some estimates, this may constitute one-third to nearly one-half of all US health spending”.  They stated in another report that “the US wastes roughly $1 trillion each year because the health care system is inefficient”.

The American Journal of Managed Care states that “chronically ill patients whose primary care providers offer highly fragmented care more often experience lapses in care quality and incur greater healthcare costs”.  Furthermore, the Institute of Medicine (IOM) states that more than 30% of care is wasted on spending that does not contribute to better health outcomes.  Moreover, a panel of the Institute of Medicine (IOM) estimated in a September 2012 report that $750 billion was wasted in US health care annually, not including fraud,  These studies, taken together, present a huge opportunity to coordinate care for high need, high-cost patients – which IOM says will improve outcomes and reduce costs dramatically.  This report suggests that by coordinating care, savings in the range of 50-75% for dual eligibles living with complex chronic diseases can be accomplished.  

For these reasons, strongly believes that the resulting savings are more than enough to create 1.5. jobs for every dual-eligible who participates fully in this program.  (Click HERE for details.)  Learn more about PHIERworks, our sustainable jobs plan, by clicking HERE.  Since PHIERS automatically tracks encounters and outcomes (using widely adopted quality and performance measures), it will increase the eligibility of participating organizations for performance-based grants and impact bonds, to cover ongoing operating costs of participation and expansion.

This positive reinforcement loop will reduce federal healthcare spending enough to create jobs that can help safety net programs expand, and better keep pace with rising demand.   It is also designed to help weather funding cuts and efforts to privatize and/or voucherize Medicare, Medicaid and Social Security.


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