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North Carolina Law Review Symposium: Health Care Decisions in the New Era of Health Care Reform

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Friday, October 4, 2013

9:00 AM

5:00 PM

Kenan Center, Kenan-Flagler Business School

The North Carolina Law Review will be hosting its fourteenth annual Symposium, Health Care Decisions in the New Era of Health Care Reform, at the Kenan Center in the Kenan-Flagler Business School. Symposium speakers are traveling to Chapel Hill from all over the country in order to participate in this interdisciplinary event.

Our distinguished speakers are:

  • Mark Hall, Wake Forest University
  • Allison K. Hoffman, UCLA School of Law
  • Aaron S. Kesselheim, Harvard Medical School
  • Anne Drapkin Lyerly, UNC School of Medicine
  • Kristin M. Madison, Northeastern University School of Law
  • Michelle M. Mello, Harvard School of Public Health
  • David Orentlicher, Indiana University Robert H. McKinney School of Law
  • Frank A. Pasquale, University of Maryland Francis King Carey School of Law
  • Lois Shepherd, University of Virginia Health System
  • Peter Ubel, Duke University

Optimal decision making in health care often proves challenging. Health care providers often confront multiple treatments for each condition with limited evidence as to which interventions work best; moreover, treatment decisions can implicate questions of ethics and personal values that may not be answerable by clinical expertise alone. Fragmented delivery systems lead to insufficient coordination among providers in managing patients’ overall care. Patients face significant informational disadvantage not only in dealing with clinical information, but also in making choices regarding health care insurance coverage. Payers must make reimbursement and coverage decisions with incomplete information about the value and cost effectiveness of many treatments. Governmental officials must make complex regulatory decisions in managing a health care system with seemingly endless demand, escalating costs, and limited resources.

According to some optimistic accounts, the new era of health care reform will radically improve health care decisions. The Patient Protection and Affordable Care Act includes many reform initiatives aimed at improving health care decision making. For example, the law encourages the formation of integrated delivery systems that share information and coordinate care, fosters the development of shared decision-making between providers and patients, develops a more comprehensive evidence base through comparative effectiveness research, and creates insurance exchanges where patients as consumers can choose between plans offering standardized benefits and compared in standardized formats. But there are also reasons for concern that, in the new era of health care reform, decision making will become all the more complex and daunting. This symposium will consider both the promise and limitations of recent reform efforts, highlighting the important issues that are likely to emerge as the health care system tries to improve decision making.

Those interested in attending the Symposium are asked to register online at https://events.law.unc.edu/calendar/event.aspx?cid=2460 by October 2. If you have any questions or concerns please feel free to email Anna Tison at atison@unc.edu or Laura Krcmaric at lauranawrocki@gmail.com.

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