Latest / Bloomberg Intelligence / Cleveland Clinic's Cosgrove on Medical Innovation Impact(Audio)
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- 0:04Speaker 1: Broadcasting live to New York, Bloomberg eleven Rio to Washington,
- 0:08Speaker 1: d C. Bloomberg to Boston, Bloomberg twelve hundred to San Francisco,
- 0:13Speaker 1: Bloomberg to the country. See is Exam General one nine
- 0:17Speaker 1: team and around the globe the Bloomberg Radio Plus athen
- 0:21Speaker 1: Bloomberg dot com. This is taking Stock. I'm Kathleen Hayes,
- 0:27Speaker 1: a very special show today. We're broadcasting live from the
- 0:30Speaker 1: Federal Reserve Bank of Cleveland. Coming up will very exclusive
- 0:33Speaker 1: interview with Cleveland Fed President Loretta Mester. How did that?
- 0:37Speaker 1: We're looking at the Cleveland economy. Coming up Dr Toby
- 0:41Speaker 1: gos Cosgrove, CEO of the Cleveland Clinic. Their model is
- 0:45Speaker 1: known across the country. We're going to find out more
- 0:48Speaker 1: about their work and how medical innovation is driving the
- 0:52Speaker 1: regional economy. Now, let's get back to our own Katherine Cowdery,
- 0:56Speaker 1: She's back at Bloomberg World Headquarters with a Bloomberg Business Flash, Ky, Kathleen,
- 1:00Speaker 1: or a stock market starting off the fourth quarter with
- 1:03Speaker 1: a retreat. Utilities and real estate companies are down the most.
- 1:06Speaker 1: Nine of the eleven sectors in the S and P
- 1:08Speaker 1: five hundred are lower. A report on manufacturing is fueling
- 1:11Speaker 1: speculation that the Federal Reserve will raise interest rates. Is here.
- 1:14Speaker 1: Manufacturing expanded at AM not as space in September after
- 1:17Speaker 1: unexpectedly shrinking a month earlier. The report from the Institute
- 1:21Speaker 1: for Supply Management underscores a limited progress for the battered sector.
- 1:25Speaker 1: Michael Faroli chief he was economist at JP Morgan Securities,
- 1:28Speaker 1: on that manufacturing report. The August I s M was
- 1:32Speaker 1: a bit of a disappointment. I think what we saw
- 1:34Speaker 1: today was a lot of that being sort of repaired.
- 1:36Speaker 1: So we're back kind of to where we were in
- 1:38Speaker 1: June July, which is not, you know, very expansive levels,
- 1:41Speaker 1: but it is at least above fifties, so uh so
- 1:44Speaker 1: it's a positive development. I think manufacturing is slowly getting
- 1:47Speaker 1: back on its feet, but it's uh I wouldn't call
- 1:49Speaker 1: the robust manufacturing sector that we're looking at. We check
- 1:53Speaker 1: in markets every fifteen minutes throughout the trading day down
- 1:55Speaker 1: Industrial leverages down fifty eight point a third of a percent,
- 1:58Speaker 1: trading at eighteen thousand, two hundred five d SMP five
- 2:01Speaker 1: foundered down eight points four tents of a percent nine
- 2:04Speaker 1: and as Jack is down seventeen points a third of
- 2:07Speaker 1: a percent, trading at less Texas Intermedia. Crude oil up
- 2:11Speaker 1: forty seven cents a barrel, again of one percent at
- 2:13Speaker 1: forty eight seventy one, spickled down three dollar sixty cents
- 2:16Speaker 1: agounce at thirteen thirteen fifty, and the Tenure Treasury down
- 2:19Speaker 1: seven thirty seconds with the yield of one point six
- 2:22Speaker 1: two percent. Among today's top business stories, auto sales came
- 2:26Speaker 1: in stronger than analysts anticipated in September, fueled by record incentives.
- 2:30Speaker 1: It suggests that there may still be some steam left
- 2:33Speaker 1: in the auto industry six year growth spurt. Nissan's US
- 2:36Speaker 1: sales rose at four point nine percent compared to last year.
- 2:39Speaker 1: And now let's get an update of some of the
- 2:41Speaker 1: other stories were following at Bloomberg Radio today. Thank you
- 2:45Speaker 1: Katherine from the Bloomberg Newsroom. I'm Matt Miller. The Washington
- 2:49Speaker 1: Redskins lost a bid to go straight to the Supreme
- 2:51Speaker 1: Court to reinstate the team's US government trademark. Federal protection
- 2:55Speaker 1: of the brand was officially revoked for being offensive to
- 2:58Speaker 1: American Indians, but Bloomberg's Bob Moon reports the team could
- 3:02Speaker 1: still find some support for its case. What does a
- 3:05Speaker 1: football team name the Redskins have to do with an
- 3:08Speaker 1: Asian American band named the Slants. Both insist their names
- 3:11Speaker 1: aren't disparaging and contend they have a right to protect
- 3:13Speaker 1: their trademarks. While the Supreme Court won't act on the
- 3:16Speaker 1: Redskins appeal, it'll hear the band's argument that it has
- 3:18Speaker 1: a free speech right to turn a slur into a
- 3:20Speaker 1: name of pride. The football team owners have made a
- 3:23Speaker 1: similar argument in their public relations campaign. The Washington Redskins
- 3:27Speaker 1: stand for strength, courage, and respect. What the High Court
- 3:29Speaker 1: decides about the rock bands controversial name could thus affect
- 3:32Speaker 1: the Redskins lawsuit. The Supreme Court ruling is due by
- 3:35Speaker 1: next June. Bob Moon Bloomberg Radio Hurricane Matthew is expected
- 3:39Speaker 1: to bring a seven foot storm surge and as much
- 3:41Speaker 1: as forty inches of rain to some parts of Haiti.
- 3:44Speaker 1: Hurricane specialist John Canjelosi at the National Hurricane Center says
- 3:49Speaker 1: the storm shows no signs of weakening, for we think
- 3:53Speaker 1: hurricane force winds are expected across the island beginning leader
- 3:56Speaker 1: today and tonight, uh similar conditions for winds in Jamaica.
- 4:01Speaker 1: Matthew is packing winds near one hundred thirty miles per hour,
- 4:05Speaker 1: and the engineer of a commuter train that crashed in Hoboken,
- 4:09Speaker 1: New Jersey, killing one person and injuring more than a
- 4:12Speaker 1: hundred told investigators he has no memory of the crash.
- 4:16Speaker 1: One recovered data recorder wasn't functioning. Investigators are still looking
- 4:20Speaker 1: for a second. Globen is twenty four hours a day,
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- 4:47Speaker 1: an update of the benchmark. Stow Industrial lverages down fifty
- 4:50Speaker 1: two points at eighteen thousand, two hundred fifty six, SMP
- 4:52Speaker 1: five foundered down eight points at sixty, and the nastack
- 4:55Speaker 1: is down sixteen points at fifty two ninety six. And
- 4:58Speaker 1: that's a Bloomberg business five. This is taking stock with
- 5:04Speaker 1: bim box at Kathleen As on bloom Bird Radio. We
- 5:09Speaker 1: are broadcasting line today Cleveland, the Federal Reserve Bank of Cleveland.
- 5:13Speaker 1: Coming up our special interview with Loretta Mester, President of
- 5:16Speaker 1: Cleveland FED. We're serving the Cleveland economy. Ahead of that interview.
- 5:20Speaker 1: Very happy to welcome now one of the big drivers.
- 5:24Speaker 1: That's Dr Delas Cosgrove, known to just about everybody as Toby, President,
- 5:28Speaker 1: CEO and director at the Cleveland Clinic. Welcome to the show.
- 5:32Speaker 1: Thank you very much player to be here. Well, Toby
- 5:35Speaker 1: start by telling us our listeners about the Cleveland Clinic
- 5:38Speaker 1: and what it does. It does a lot. Well, Cleveland
- 5:40Speaker 1: Clinics started at different the way we're organized. We're a
- 5:43Speaker 1: group practice of about uh and we are all salry.
- 5:48Speaker 1: There's no financial incentives or bonuses for the doctors or
- 5:52Speaker 1: anybody else here. We all have one year contracts um
- 5:56Speaker 1: and we have an annual professional review. The reviews equality
- 6:00Speaker 1: of the physicians who participate, so that I think that's
- 6:03Speaker 1: a very major difference from almost any other organization the
- 6:06Speaker 1: United States. Well, one of the things that caught my
- 6:09Speaker 1: eye that you have been talking about is medical innovation
- 6:13Speaker 1: and the rebirth of cities. How is that happening. How
- 6:16Speaker 1: is it happening in Cleveland. Well, this has been a
- 6:19Speaker 1: very big project for us UH, and we have put
- 6:23Speaker 1: together away to begin to take the intellectual capital of
- 6:26Speaker 1: the Cleveland connect and the things that are thought up
- 6:28Speaker 1: here and begin to spin them out into the community.
- 6:33Speaker 1: So far we have in the last fifteen years have
- 6:36Speaker 1: about a thousand patents and the spun off over seventy
- 6:38Speaker 1: countries companies. Most recently UH company that we started to
- 6:44Speaker 1: hear was called Explorers, which collected the fifty million patient
- 6:49Speaker 1: records and was sold recently to IBM for their use
- 6:53Speaker 1: and their Watson Health h There's also so there's lots
- 6:58Speaker 1: of companies here. There's about seven UM medical UH companies
- 7:04Speaker 1: in Northeast Ohio at this time, which has really begin
- 7:07Speaker 1: to change the look of the economy of Northeast Ohio.
- 7:11Speaker 1: What does the what does the city have to have
- 7:13Speaker 1: to attract the talent, find the workers and make this
- 7:17Speaker 1: model grow. Well, I think the two things that come together.
- 7:21Speaker 1: First of all, you have to have a great healthcare
- 7:24Speaker 1: delivery system. And if you look at almost any city
- 7:26Speaker 1: in the country, the biggest employer in the city, UH
- 7:30Speaker 1: is the healthcare industry, which is also the biggest industry
- 7:35Speaker 1: in the United States now that is attracting a lot
- 7:38Speaker 1: of people with the great ideas and great intellectual capacity.
- 7:44Speaker 1: And the question really is how you harness that and
- 7:46Speaker 1: how do you encourage it? And we've incurred, we've tried
- 7:49Speaker 1: to encourage that every way we can here the Cleveland
- 7:52Speaker 1: connect to begin to drive that out into the the economy.
- 7:57Speaker 1: The second part is that we need to have great
- 8:00Speaker 1: universities and bringing great intellectual capital to your city. And
- 8:05Speaker 1: so the medicine edds that go together are building a
- 8:07Speaker 1: lot of economies and cities where it used to be
- 8:10Speaker 1: steel and auto parts. Now, if you look at some
- 8:15Speaker 1: of the challenges facing healthcare, one of them, of course,
- 8:20Speaker 1: we're seeing, uh the exchanges closing down. A big question
- 8:25Speaker 1: marks now over the Affordable Care Act Obamacare. How is
- 8:29Speaker 1: that in any way affecting Cleveland, the region, even the
- 8:34Speaker 1: Cleveland Clinic. Well, I think it's affecting health care across
- 8:37Speaker 1: the country. And what we realize that we need to
- 8:39Speaker 1: do is just be more efficient in how we deliver care.
- 8:43Speaker 1: So we realize that we have to take a really
- 8:46Speaker 1: over a billion and a half dollars out of our costs,
- 8:49Speaker 1: and so far, we've taken about seven million dollars out
- 8:52Speaker 1: over the last couple of years of our costs, and
- 8:55Speaker 1: we will continue to work on that. We need to
- 8:58Speaker 1: have our be more accessible for our patients and to
- 9:04Speaker 1: deliver care in a different, more efficient sort of way.
- 9:08Speaker 1: The other part of that is, clearly, if we're going
- 9:10Speaker 1: to have an economy that pays less for its health care,
- 9:14Speaker 1: we have to put a major emphasis on keeping people well.
- 9:17Speaker 1: Um and happily we have been able to do that
- 9:21Speaker 1: in our eight thousand dependence here at the Cleveland Clinic.
- 9:25Speaker 1: We have seen our health insurance costs in fact, go
- 9:28Speaker 1: from inflating at seven a half percent a year to
- 9:31Speaker 1: actually hit it down now. Uh So that's been through
- 9:35Speaker 1: a lot of wellness and yeah so in terms in
- 9:39Speaker 1: terms of the costs. Though as a as a patient
- 9:42Speaker 1: who has a good health care insurance, I'm sometimes frustrated
- 9:45Speaker 1: by how difficult could be defile acclaim codes and all that.
- 9:48Speaker 1: I'm sure on your end, regulations and so much paperwork
- 9:52Speaker 1: people have to employ staff just to do that. Is
- 9:54Speaker 1: that too heavy handed by the government or by the
- 9:56Speaker 1: insurance companies? Well, we we are reporting now over a
- 10:00Speaker 1: hundred uh quality metrics to the federal government. In fact,
- 10:04Speaker 1: if you look at the Affordable Care Act, there's sixteen
- 10:07Speaker 1: thousand pages, which stacked up on top of each other,
- 10:10Speaker 1: come to seven feet tall um in the number of
- 10:14Speaker 1: regulations and that are have now been put upon us.
- 10:18Speaker 1: So this is a very big issue. Uh, there's no
- 10:22Speaker 1: uniformity of insurance companies having what their quality metrics are.
- 10:27Speaker 1: They're not the same as the governments and we really
- 10:30Speaker 1: need some relief from that, some standardization. Well, thank you
- 10:34Speaker 1: for taking time for us today. We really appreciate it.
- 10:37Speaker 1: Toby Costgrove Dr. Costgrow is president, CEO and director of
- 10:41Speaker 1: the Cleveland Clinic, one of the big drivers of the
- 10:45Speaker 1: Cleveland economy. Yet ready, she's coming up in the next hour.
- 10:50Speaker 1: Laretta mester Ore Exclusive interviews. She's president of the Cleveland Fed.
- 10:55Speaker 1: I'm Kathleen Hayes. This is Bloomberg. Bloomberg Taking Stock is
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