The University of Illinois College of Law presents:
Ann F. Baum Memorial Elder Law Lecture
Wednesday, March 10, 2021
"Ways of Thinking About Medical Care: Alternative Models and Structures and Their Policy Significance"
James F. Blumstein, Vanderbilt University
University Professor of Constitutional Law and Health Law & Policy
Professor of Management, Owen Graduate School of Management
Director, Vanderbilt Health Policy Center
Traditionally, medical care has been understood to function under a professional paradigm; medical decisions are considered purely scientific under a standard of “medical necessity.” Medicare and Medicaid were based on this model, where economics has little sway. Over time, an alternative model, an economic paradigm, has gained traction. Under the alternative model, economics plays an important role in medical decisionmaking. The professional model had a strong influence on the design and structure of Medicare and Medicaid, with significant consequences in terms of cost escalation. Medicaid, in particular, has been an uncapped entitlement program of federal/state spending. About 20 years ago, Medicaid introduced managed care, which allowed for consideration of economic factors in medical decisionmaking. And, at the same time, the Children’s Health Insurance Program (CHIP) developed a competing model for federal/state healthcare spending. The Affordable Care Act (ACA) relied on cost savings from projected Medicare spending to fund increased access to care, a clear recognition of the salient role of economics in supporting expanded access to care. Most recently, the federal government has approved a Tennessee Medicaid waiver, essentially transferring the CHIP funding model to the context of Medicaid. The interplay of economics and program design/structure in healthcare programs, culminating in the recent Medicaid waiver for Tennessee, will form the centerpiece of this year’s Baum Memorial Lecture.
Jim Blumstein ranks among the nation’s most prominent scholars of health law, law and medicine, and voting rights. He is currently one of eight University Professors at Vanderbilt; he was the first awarded that title in the law school and the first to receive a second tenured appointment in Vanderbilt Medical School. The director of Vanderbilt’s Health Policy Center, Professor Blumstein has served as the principal investigator on numerous grants concerning managed care, hospital management and medical malpractice. His peers recognized his leadership in health law and policy by electing Professor Blumstein to the National Academy of Sciences’ Institute of Medicine, and he was awarded the Earl Sutherland Prize, which is Vanderbilt’s preeminent university-wide recognition for lifetime scholarly contributions. In 2007, he received the prestigious McDonald-Merrill-Ketcham Memorial Award for Excellence in Law and Medicine from the University of Indiana and delivered the award lecture on hospital-physician joint-venture relationships. Professor Blumstein has been the Olin Visiting Professor at the University of Pennsylvania Law School, an adjunct professor at Dartmouth Medical School, and a visiting professor at Duke Law School and at Duke’s Institute of Policy Sciences and Public Affairs. He has served as former Tennessee Governor Phil Bredesen’s counsel on TennCare reform and has participated actively in a number of Supreme Court cases, arguing three. In 2014, Professor Blumstein received a secondary appointment as a Professor of Management at the Owen Graduate School of Management. A dedicated teacher, Professor Blumstein has received the law school’s student-sponsored Hall-Hartman Teaching Award. He joined Vanderbilt’s law faculty in 1970.
Ann F. Baum Memorial Elder Law Lecture
In remembrance of the life of Mrs. Ann F. Baum, a gift through her estate has endowed the Ann F. Baum Memorial Elder Law Lecture. This lecture series seeks to promote the relevant and timely discussion of broad range of issues relating to the intersection of public policy, the law, and the elderly.
Mrs. Baum was born November 11, 1922, into a poor Irish Catholic family. A life-long resident of the Chicago area, Mrs. Baum grew up with seven siblings. She and her husband, the late Alvin H. Baum, operated an investment firm in Chicago. Mr. Baum passed away in 1982, and Mrs. Baum passed away in 2005.
Mrs. Baum and her late husband were compassionate individuals who supported a broad array of charities as well as providing direct support to needy individuals. Targets of their giving included the disadvantaged, the young, the elderly, religious organizations, educational organizations, and civic organizations. Their legacy of giving and sharing is continued through the Alvin H. Baum Family Fund of which Alvin and Ann were both benefactors.
The Ann F. Baum Memorial Elder Law Lecture constitutes a fitting memorial to a woman who was deeply concerned with the rights and issues pertaining to elderly people in our society.
Free and open to the public.
Join the lecture at 12 p.m CT:
Join by Zoom Meeting
Meeting ID: 860 8008 4604
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