HLM: What has to be done with medical education?
Hoven: We've been talking change in medical education for years, but in fact we haven't done it. We know change needs to happen. In the long term… we have to address GME (Graduate Medical Education). The horrible thing is that Congress put a cap on available graduate medical education slots.
The number is still the same as it was in 1997. We've got to look at funding for GME, and it's potentially in crisis mode."
HLM: A lot of physicians aren't happy, and are uncertain about healthcare reform. What are you going to do about this?
Hoven: We're looking at delivery reform and payment change. For instance, we are evaluating 30 practices across the nation: big ones, little ones, multispecialty and single specialty practices. These are the [physician] practices that are perceived to be, in their states, thriving and sustainable, with good outcomes and happy patients. What makes them different? What's working for them? We need to put our arms around that and translate [it] into tools and methods for other physicians throughout the country to learn and understand this.
For me, this is extremely important—putting our boots on the ground, helping doctors get to this [degree of success] and making practices sustainable and thriving. That is very much on our radar screen. So hopefully, by July we're going to have the first report on this particular work and I am looking forward to that.