Closing the gaps in health outcomes: Alternative paths forward
About This Event

 

 

 

 

 

Relevant Material: Beyond More Health Insurance Coverage, toward Better Health Outcomes

 

 

 

Event Summary

In an era of ongoing health care reform, how can we approach current disparities in health outcomes to best serve Americans going forward? On Monday at AEI, AEI's own Thomas P. Miller convened a panel of experts to identify opportunities to impact long-term health status, and implications for policy.

Frances A. Campbell of the University of North Carolina–Chapel Hill presented the findings and methodology behind the Abecedarian Project, a scientific study focusing on early intervention in children's education. Campbell described how quick, individually prescribed action in early childhood can positively affect cognitive development through adulthood.

Gabriella Conti of University College London expanded on Campbell's remarks, noting that disparities in health outcomes emerge before conception. She stressed a preventative approach to health care and the importance of environmental factors throughout early childhood development.

Harold P. Freeman of the Patient Navigation Institute drew on his work at Harlem Hospital to delve deeper into the causes of health disparities and the possible influence of gene-environment interaction. Freeman advocated guiding patients through the "window of opportunity between abnormal findings and resolution" throughout the progression of a disease.

Barak Richman of Duke University School of Law closed the discussion with the policy recommendation that the US health system move away from provider- and insurance-oriented health care and toward patient-centric care.
--Kelly Funderburk

Event Description

Diagnosing the causes of mounting US health care costs and the disappointing health outcomes they produce is only the first step in finding better health policy solutions. Several promising lines of scholarly research suggest that key factors — including socioeconomic status, early childhood development, cognitive skills, personality traits, and behavioral economics — may be important determinants of long-term health status and should therefore be factored into policy solutions.

In many health “reform” discussions, we hear the same promises that are likely to produce the same unsatisfying results. Please join us for a broader exploration of targeted interventions that provide real promise for reducing health disparities, limiting or delaying the onset of chronic health conditions, and improving the performance of the US health care system.

If you are unable to attend, we welcome you to watch the event live on this page. Full video will be posted within 24 hours.

Agenda

9:15 AM
Registration

9:30 AM
Panelists:
Frances A. Campbell, University of North Carolina–Chapel Hill
Gabriella Conti, University College London
Harold P. Freeman, Patient Navigation Institute
Barak Richman, Duke University School of Law

Moderator:
Thomas P. Miller, AEI

10:45 AM
Q&A

11:30 AM
Adjournment

Event Contact Information

For more information, please contact Kelly Funderburk at [email protected], 202.862.5826.

Media Contact Information

For media inquiries, please contact [email protected], 202.862.5829.

Speaker Biographies

Frances A. Campbell is a senior scientist at the Frank Porter Graham Child Development Institute (FPG). She is internationally recognized for her work on the Abecedarian Project, one of the longest-running longitudinal studies in the world. Her work with the Abecedarian Project, which began with a group of infants in 1972, has followed these children as they have aged into adulthood. Findings from this study are frequently cited by experts and policymakers when discussing the importance of quality early child care. She has also conducted research on how children in Head Start programs make the transition to public school. Campbell served as a member of the White House Conference on Early Literacy and a member of the Pritzker Consortium on Early Childhood Development. Campbell received the 2007 Alumni Distinguished Service Award from the University of North Carolina–Greensboro.

Gabriella Conti is an assistant professor in the department of applied health research at University College London; faculty research fellow at the National Bureau of Economic Research; research affiliate of the Population Research Center, University of Chicago; a research fellow at the School of Social and Community Medicine, Faculty of Medicine at the University of Bristol; a visiting scientist in the Developmental Origins of Health and Disease Division, Faculty of Medicine, Southampton General Hospital, University of Southampton; and a research associate at the Institute for Social and Economic Research, University of Essex. Conti's research draws on biology, genetics, epidemiology, neuroscience, medical economics, and the economics of human development. She is developing an integrated developmental approach to health from before conception and is modeling the economic, social, and biological mechanisms that produce health inequalities over the life-course and across generations.

Harold P. Freeman is founder and president/CEO of the Harold P. Freeman Patient Navigation Institute in New York City. He is professor emeritus of surgery at Columbia University College of Physicians and Surgeons. He pioneered the concept of "patient navigation," a program to provide low-income patients with personal guides through the health care system. A diplomat of the American Board of Surgery and fellow of the American College of Surgeons, he served as president and CEO of North General Hospital in New York City and was director of surgery at Harlem Hospital Center for 25 years. Freeman was elected to the Institute of Medicine of the National Academy of Sciences in 1997 and served as national president of the American Cancer Society. He is the chief architect of the American Cancer Society initiative on cancer among the poor, for which the Harold P. Freeman Award was established in 1990. He is a past chairman of the President's Cancer Panel, which Freeman was appointed to four terms. The HistoryMakers recognized him in 2006 with the Daniel Hale Williams Award. A Lasker Laureate, he received the Mary Lasker Award for "enlightening scientists and the public concerning the interrelationships between poverty, race and cancer."

Thomas P. Miller is a resident fellow at AEI, where he focuses on health policy, with particular emphasis on information transparency, health insurance regulation, health care entitlement reform, and market-based alternatives to the policies of the Patient Protection and Affordable Care Act. He is the coauthor of “Why ObamaCare Is Wrong for America” (HarperCollins, 2011) and author of “When ObamaCare Fails: The Playbook for Market-Based Reform” (AEI, 2012). He also directs AEI's Beyond Repeal and Replace project. Miller was a member of the National Advisory Council for the Agency for Healthcare Research and Quality from 2007 to 2009. He was a senior health policy adviser for the John McCain presidential campaign in 2008. Before joining AEI in 2006, Miller served for three years as senior health economist for the Joint Economic Committee of the US Congress. He has also been director of health policy studies at the Cato Institute and director of economic policy studies at the Competitive Enterprise Institute. He is a member of the National Academy of Social Insurance and the State Bar of Georgia. Miller’s writing has appeared in publications such as Health Affairs, The Wall Street Journal, The New York Times, The Washington Post, Los Angeles Times, USA Today, and National Review. He makes frequent broadcast media appearances on Fox, PBS, CBS, CNN, MSNBC, CNBC, C-SPAN, and National Public Radio, among other networks.

Barak Richman is the Edgar P. and Elizabeth C. Bartlett Professor of Law and Professor of Business Administration at Duke University School of Law, researching the economics of contracting, new institutional economics, antitrust, and health care policy. His work has been published in the Columbia Law Review, University of Pennsylvania Law Review, Law and Social Inquiry, New England Journal of Medicine, Journal of the American Medical Association, and Health Affairs. In 2006, he coedited, with Clark Havighurst, a symposium volume of law and contemporary problems titled "Who Pays? Who Benefits? Distributional Issues in Health Care,” and Richman’s book “Stateless Commerce” is to be published by Harvard University Press in 2015. Richman represented the NFL Coaches Association in an amicus curiae brief in American Needle v. the National Football League, which was argued before the US Supreme Court in January 2010 and again in Brady v. The National Football League in 2011. His recent work challenging illegal practices by Rabbinical Associations was featured in The New York Times. Richman is also on the health sector management faculty at Duke’s Fuqua School of Business and is a senior fellow at the Kenan Institute for Ethics. He won Duke Law School's Blueprint Award in 2005 and was named Teacher of the Year in 2010. He served as a law clerk to Judge Bruce M. Selya of the US Court of Appeals for the First Circuit, and from 1994 to 1996, he handled international trade legislation as a staff member of the US Senate Committee on Finance, then chaired by Senator Daniel Patrick Moynihan (D-NY).

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