2025 PRESENTER PROFILES
ADA Diabetes Care Symposium—How Do We Fix a Broken Health Care System?
Saturday, June 21, at 8:00 a.m. CT
Room W187 A-C • McCormick Place Convention Center
Value-based Payment and Alternative Payment Models
Marshall Chin, MD, MPH
Richard Parrillo Family Distinguished Service Professor of Healthcare Ethics,
University of Chicago
What is your presentation about?
The United States health care system is failing, achieving poor population health outcomes, despite high cost. By virtue of the many elements required for optimal care, the United States’ poor diabetes care quality and outcome metrics are canaries in the coal mine for the health care system. The fundamental problem with the U.S. health care system is that it does not prioritize the long-term health and well-being of all persons and communities. I will discuss reforms in the way we pay for health care that can support, incentivize, and sustain effective population health models that address medical, social, psychological, and behavioral needs of all persons and communities.
How do you hope your presentation will impact diabetes research or care?
Clinicians want to provide the best quality care to all their patients, yet the U.S. health care system incentivizes short-term financial gain to health care systems and investors over the health of patients and populations. I hope that our presentation and accompanying article in Diabetes Care® will help lead to a health care system in which equitable access allows health care resources to be distributed according to need, enabling all persons to have a fair and just opportunity for health.
How did you become involved with this area of diabetes research or care?
For 20 years, I have led Robert Wood Johnson Foundation (RWJF) programs that have funded innovative interventions to improve care and outcomes of patients with diabetes and other conditions. Repeatedly, grantees and partners have told us that demonstration programs cannot be sustained unless the way we pay for care supports and incentivizes such innovations. The latest iteration of our RWJF program Advancing Health Equity: Leading Care, Payment, and Systems Transformation brings together different stakeholders to align payment and care transformation to improve health for all, including our most marginalized patients and communities.
