Kristen Miranda
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- Milken Institute47 min
The Economic Impact of Chronic Disease
Ross DeVol, Nancy Brown, Neal Kaufman, Kristen Miranda, Hugh Waters, Otis Webb Brawley
The Milken Institute convened health leaders and researchers to address the escalating economic and human toll of chronic diseases, emphasizing that 80% of cardiovascular conditions and rising cancer rates are preventable through lifestyle changes and systemic reform. Speakers highlighted stark disparities linked to education and income while detailing how policy interventions, such as Medicaid expansion and Accountable Care Organizations, can reduce waste and improve early detection. The session concluded with a unified call to shift from fee-for-service models to patient-centric strategies that leverage digital tools and early education to extend healthy life years rather than merely treating illness.
- Milken Institute1h 2m
2015 CA Summit - Fostering Innovation to Improve Health Care
Ross DeVol, Donald Crane, Ed Hernandez, Richard Merkin, Kristen Miranda, Art Torres
Leading health stakeholders convened to address California's critical healthcare challenges, including a bifurcated payment system introduced by the 2015 MACRA law and the accelerating market consolidation among insurers like Blue Shield and Anthem. Panelists highlighted that while innovations such as the Heritage Health Prize and joint data exchanges offer promise, systemic barriers like low Medi-Cal reimbursement rates and a 300% pay disparity between specialists and primary care providers continue to drive costs and exacerbate workforce shortages. The discussion concluded that without shifting from volume-based to value-based models and addressing demographic disparities in Covered California enrollment, unchecked consolidation may force government rate regulation to protect consumers.