The Past, Present, and Future of Health Plan Innovation with Liz Fowler

How well is the U.S. health care system working, and what is being done to address its biggest challenges? In this episode, Dr. Liz Fowler, former Deputy Administrator and Director of the Innovation Center at the Centers for Medicare & Medicaid Services, discusses the progress and challenges of U.S. healthcare reform, emphasizing the impact of the ACA, the shift to value-based care, and the need for systemic innovation to improve access, affordability, and quality. While the ACA has expanded coverage and improved access for individuals with pre-existing conditions, high out-of-pocket costs, care denials, and inefficiencies persist. Dr. Fowler emphasizes the need for mandatory value-based payment models to drive systemic change, focusing on team-based care, predictive analytics, and home-based interventions. She notes that while CMS has the scale to implement reforms, Medicaid innovation remains complex due to state-by-state variations. Driven by real patient experiences, Dr. Fowler remains committed to improving health care access, affordability, and quality through government-led innovation. Tune in as Dr. Liz Fowler shares firsthand insights on the evolution of health care reform, the shift to value-based care, and the ongoing innovations shaping the future of Medicare and Medicaid! About CareQuest: CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Learn more about your ad choices. Visit megaphone.fm/adchoices