|
The Abstract
|
> Edited by Torie Ludwin, Arnold Ventures (AV)
|
The sound of an ambulance siren typically means a health care emergency looms nearby. But for AV Co-Founder and Co-Chair John Arnold, out-of-control health care costs were the alarms that signaled an emergency of a broken market — one that could benefit from AV's research and policy work.
Last week, in a candid exchange at the 12th annual Forbes 400 Summit on Philanthropy in New York City, John talked about how he and his wife, Laura, first began directing their philanthropic support toward research into health care affordability, and what that work looks like today.
“If you think about the market failures, health care has every one of them,” he told moderator Katie Couric.
Before an audience of the world's top philanthropists, John explained how health care suffers from a lack of transparency, concentrated benefits and diffuse costs, all amid a trend of market consolidation. As a result, most Americans now live in places where health care is provided by monopolies or duopolies that effectively set their own prices.
Learn more about John's panel>
Connect with AV's health care portfolio>
|
|
|
Not-So-Happy Fiscal New Year
|
|
|
(AV Public Finance Program Integrity Fellow Doug Criscitello)
As the federal government starts its new fiscal year, AV Public Finance Program Integrity Fellow Doug Criscitello writes in Forbes that the next president and Congress will have a long list of budgetary items to address: getting funding in place for the new year, increasing the debt ceiling, determining whether and how to extend tax cuts, and considering the fiscal priorities of our newly elected leaders. Meanwhile, longer-term challenges, including persistently large budget deficits, soaring debt, and political gridlock will exacerbate concerns about the nation's economic stability. Criscitello underscores the need for urgent and bipartisan fiscal cooperation to avoid long-term consequences.
Entering Fiscal Year 2025, the Government Has Little to Celebrate>
|
|
|
|
|
Criminal Justice
- Understaffing and other issues have led to such dangerous and chaotic conditions in Georgia’s prisons that the constitutional rights of incarcerated people are being violated, the Justice Department has found. "The Constitutional violations are not isolated incidents but long-standing systemic violations stemming from a culture of indifference to the safety and security of people Georgia holds,” Assistant Attorney General Kristen Clarke of the Justice Department's Civil Rights Division says.
- The Texas Tribune reports on how the Texas Sunset Advisory Commission has found that understaffing and outdated technology are endangering staff, incarcerated people, and community safety.
- Incarcerated people, corrections staff, and state lawmakers are raising alarm about poor conditions in Connecticut’s prison system, according to a story from WTNH. Allegations include continual use of lockdowns, medical neglect, overdoses, suicides, and corruption.
Health Care
- In the Health Affairs Forefront series, leaders from the Centers for Medicare and Medicaid Services (CMS) and the Center for Medicare and Medicaid Innovation (CMMI) describe CMS’ efforts to meet the agency’s goal to have all Medicare beneficiaries in accountable care relationships, where a provider is responsible for the quality and total costs of care, by 2030.
- The Georgetown Center on Health Insurance Reforms (CHIR) looks at Oregon's merger review law, which strengthens state oversight of corporate mergers to protect competition and consumer interests.
- The National Academy for State Health Policy (NASHP) describes the infrastructure, staffing, and governance structures used by three states (MD, PA, VT) to implement large-scale payment reform. NASHP's analysis can act as a roadmap for other states exploring payment and delivery system reform, including participation in recent state-based CMMI models.
- KFF Health News reports on how the Medicare Advantage industry uses political pressure, aggressive lobbying, and advertising to fight efforts to rein in billions in government overpayments to plans.
Higher Education
- The Georgetown Center on Education and the Workforce’s report, Graduate Degrees: Risky and Unequal Paths to the Top, proposes improvements to transparency and accountability to boost return on investment (ROI) for graduate students.
- The Penn Wharton Budget Model released a distributional impact analysis of the income-driven repayment SAVE plan, which found that lower- to middle-income student borrowers stand to gain the most from the SAVE plan, and estimated that only about a fifth of the benefits will go to households in the top 20 percent of the income distribution.
- The New York Times explains how CalTech lent its name to a boot camp that was actually taught by a for-profit online program management (OPM) company – and misled students. (free link)
- What Went Wrong With Federal Student Loans? Adam Looney and Constantine Yannelis of the Brookings Institute investigate in their new report.
|
|
|
|
|
The AV Evidence and Evaluation team has made a new informational webinar on its " Strengthening Evidence" request for proposals (RFP), which seeks to fund rigorous research for randomized controlled trials (RCTs) to evaluate social programs and policies. Letters of interest will be accepted until 11:59 p.m. ET on Tuesday, October 15, 2024.
Watch the video>
|
|
|
|
|
- World Central Kitchen, founded by Chef José Andrés, is on the ground in the southeastern United States, delivering potable water and fresh food to those affected by Hurricane Helene.
- NPR has collected interviews with many of the recently named MacArthur "Genius" Fellows, including writer Jason Reynolds, poet Jericho Brown, historian Shailaja Paik, legal scholar Dorothy Roberts, and many more.
- After 18 seasons in the NBA, the late Hall of Famer Dikembe Mutombo spent even more time devoting himself to improving the health, education, and quality of life for people in the Democratic Republic of Congo via his foundation.
|
|
|
|
|
|
|
Were you sent this briefing by a friend? Sign up here to get the AV Newsletter.
|
|
You received this message because you signed up for Arnold Ventures' newsletter.
|
|
|
Copyright 2024 3 Columbus Circle, New York NY 10019
|
|
|
|
|