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        <GrantOrContributionPdDurYrGrp>
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        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
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          <GrantOrContributionPurposeTxt>RESEARCH ON ASSESSING DENTAL CARE ACCESS FOR LOW-INCOME ADULTS IN CALIFORNIA AND ANALYSIS OF DENTI-CAL CLAIMS EXPERIENCE AND THE ORAL HEALTH WORKFORCE.</GrantOrContributionPurposeTxt>
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        <GrantOrContributionPdDurYrGrp>
          <RecipientBusinessName>
            <BusinessNameLine1Txt>FAMILIES USA FOUNDATION INC</BusinessNameLine1Txt>
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          <GrantOrContributionPurposeTxt>DEDICATED TO ADVANCE POLICIES TO LOWER UNAFFORDABLE DRUG PRICES FOR INDIVIDUALS AND FAMILIES.</GrantOrContributionPurposeTxt>
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            <StateAbbreviationCd>DC</StateAbbreviationCd>
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          <GrantOrContributionPurposeTxt>DEVELOP AND EXECUTE EDUCATIONAL SERIES EXCLUSIVELY TO ADVANCE EDUCATION AND DIALOGUE ON HEALTH CARE COSTS AND AGING.</GrantOrContributionPurposeTxt>
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        <GrantOrContributionPdDurYrGrp>
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            <BusinessNameLine1Txt>TRADEOFFS INC</BusinessNameLine1Txt>
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            <BusinessNameLine1Txt>NATIONAL PACE ASSOCIATION (NPA)</BusinessNameLine1Txt>
          </RecipientBusinessName>
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      <GeneralExplanationGrp>
        <IdentifierTxt>SUMMARY OF DIRECT CHARITABLE ACTIVITIES</IdentifierTxt>
        <FormAndLineReferenceDesc>FORM 990-PF, PART IX-A</FormAndLineReferenceDesc>
        <MediumExplanationTxt>IN 2020, THE GARY AND MARY WEST HEALTH POLICY CENTER, INC. ("WHPC OR "POLICY CENTER") CONTINUED TO BE FOCUSED ON LOWERING THE COST OF HEALTHCARE AND ENABLING SENIORS TO SUCCESSFULLY AGE IN PLACE AND IS STRATEGICALLY ALIGNED TO THE GARY AND MARY WEST FOUNDATION AND THE GARY AND MARY WEST HEALTH INSTITUTE ("WHI") IN ITS EFFORTS. THE POLICY CENTER FOCUSES ON SUPPORTIVE RESEARCH AND ANALYSIS OF POLICY PROPOSALS TO LOWER HEALTHCARE COSTS AND IMPLEMENT ALTERNATIVE, VALUE-BASED HEALTHCARE DELIVERY AND PAYMENT MODELS AIMED AT IMPROVING CARE AND ACCESS WHILE REDUCING COSTS FOR OUR FAST-GROWING AND DIVERSE POPULATION OF SENIORS. WHPC ALSO SUPPORTS TO IMPROVE GERIATRIC CARE AND SUCCESSFUL AGING BY EDUCATING AND ADVISING ON KEY REFORMS IN CALIFORNIA'S MASTER PLAN FOR AGING TO ADDRESS THE NEEDS OF THE STATE'S FAST-GROWING SENIOR POPULATION AND SERVE AS AN EXAMPLE FOR ALL STATES, IN ADDITION TO EXPANDING THE USE OF EFFECTIVE GERIATRIC ACUTE AND CHRONIC CARE MODELS, SUCH AS GERIATRIC EMERGENCY DEPARTMENT (GED) INITIATIVES AND TELEHEALTH. WHPC ALSO CONTINUED ITS SUPPORT TO INCREASING THE SPREAD OF INNOVATIVE APPROACHES TO INTEGRATED CARE AND CARE COORDINATION, PARTICULARLY THE PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) AND IMPROVE ACCESS TO HIGH-QUALITY ORAL HEALTH AND USAGE OF TELEHEALTH AMONG SENIORS. ACTIVITIES:LOWER HEALTHCARE COSTS:THE RISING COST OF HEALTHCARE IS A GROWING ECONOMIC AND PUBLIC HEALTH CRISIS THAT HURTS THE U.S. ECONOMY, THREATENS INDIVIDUAL FINANCIAL SECURITY, COMPROMISES CARE, AND REDUCES PATIENT ACCESS. EXCESSIVE SPENDING ON HEALTHCARE PLACES SIGNIFICANT BURDENS ON AMERICAN BUSINESSES AND FAMILY BUDGETS AND ENDANGERS THE FUNDING OF VITAL PROGRAMS SUCH AS MEDICARE AND MEDICAID. RISING COSTS FOR MEDICAL TESTS AND PROCEDURES, PHYSICIAN VISITS, HOSPITAL SERVICES DUE TO AN OUTDATED FEE-FOR-SERVICE PAYMENT MODEL THAT REWARDS VOLUME OVER VALUE, AND MARKET FAILURES THAT ALLOW EXORBITANT PRICES FOR SERVICES AND PRODUCTS, HAVE MADE HEALTHCARE EXTREMELY EXPENSIVE LEAVING PATIENTS WITH LESS COVERAGE, MORE OUT-OF-POCKET COSTS, AND RISING PREMIUMS. THE COVID-19 PANDEMIC LAID BARE VULNERABILITIES IN OUR HEALTHCARE PAYMENT SYSTEM AS WELL AS INEQUITIES RELATED TO RACE AND ETHNICITY, SHINING A LIGHT ON THE NEED TO LOWER COSTS AND IMPROVE ACCESS TO NEEDED CARE.GIVEN THE SERIOUS AND URGENT NATURE OF RISING HEALTHCARE COSTS, WHPC CONTINUED TO FOCUS INTENSELY ON THIS ISSUE IN 2020. KEY TO THIS WORK WAS OUR CONSTRUCTIVE COLLABORATIONS WITH LIKE-MINDED, HIGHLY RESPECTED ORGANIZATIONS, INCLUDING THE DUKE-MARGOLIS CENTER FOR HEALTH POLICY, THE COMMITTEE FOR A RESPONSIBLE FEDERAL BUDGET (CRFB), PACIFIC BUSINESS GROUP ON HEALTH (PBGH), AND BENTLEY UNIVERSITY'S CENTER FOR THE INTEGRATION OF SCIENCE AND INDUSTRY. OUR WORK RAISED AWARENESS OF THE U.S. HEALTHCARE COST CRISIS AND WORKED TO PRODUCE ACTIONABLE POLICY OPTIONS TO LOWER HEALTHCARE COSTS FOR EMPLOYERS, STATES, THE FEDERAL GOVERNMENT, AND HOUSEHOLDS. OUR FOCUS WILL CONTINUE TO BE ON POLICY OPTIONS TO LOWER PRESCRIPTION DRUG PRICES, ACCELERATE THE MOVE TO A VALUE-BASED CARE SYSTEM, AND INCREASE PRICE TRANSPARENCY. THESE SOLUTIONS ARE KEY TO LOWERING HEALTHCARE COSTS, IMPROVING HEALTH OUTCOMES, AND ENABLING THE CREATION OF A SYSTEM THAT IS MORE TRANSPARENT, COMPETITIVE, AFFORDABLE, PERSON-CENTERED, QUALITY-DRIVEN, AND SUSTAINABLE. OUR COST WORK CONSISTS OF SEVERAL WORKSTREAMS:RAISE AWARENESS OF SPENDING CRISIS AND URGENCY:TO FOCUS THE ATTENTION OF POLICYMAKERS, ADMINISTRATORS, THE BUSINESS COMMUNITY, AND THE GENERAL PUBLIC ON THE HEALTHCARE CRISIS, WHPC UNDERTOOK A VARIETY OF KEY PUBLIC AND POLICYMAKER AWARENESS STRATEGIES. BUILDING OFF WORK IN THE PRIOR YEAR, WHI WITH SUPPORT FROM WHPC RELEASED SEVEN (7) HIGHLY SUCCESSFUL NATIONAL POLLS IN PARTNERSHIP WITH GALLUP. THESE POLLS EXPOSED THE REALITY THAT AMERICANS' CONCERNS ABOUT THE COST OF CARE HAVE ONLY INCREASED AS A RESULT OF THE PANDEMIC. MOREOVER, NEARLY 9 IN 10 U.S. ADULTS ARE CONCERNED THAT THE PHARMACEUTICAL INDUSTRY WILL LEVERAGE THE COVID-19 PANDEMIC TO RAISE DRUG PRICES. ADDITIONAL PUBLIC AWARENESS ACTIVITIES IN 2020 INCLUDED: *A NATIONAL WEBINAR ON "WHY AMERICANS ARE SO WORRIED ABOUT RISING HEALTHCARE COSTS AND WHAT CAN BE DONE ABOUT IT" IN PARTNERSHIP WITH GALLUP AND WHI *ISSUE BRIEFS PARTICULARLY ON DRUG PRICING *RELEASE OF THE AMERICAN SOCIETY OF AGING (ASA) GENERATIONS SUPPLEMENT FOCUSING ON THE RISING COST OF HEALTHCARE *USE OF PUBLIC FACING MEDIA AND COMMUNICATIONS PLATFORMS AND DISSEMINATING WHPC'S HEALTHCARE SPENDING EXPERTISE THROUGH MULTIPLE NATIONWIDE SPEAKING ENGAGEMENTSWHPC BEGAN FURTHER RESEARCH AND ANALYSIS TO CHARACTERIZE THE HIGH BURDEN HOUSEHOLDS EXPERIENCE IN OUT-OF-POCKET COSTS AND INSURANCE PREMIUMS. WE WERE ABLE TO BRING SIGNIFICANT MEDIA ATTENTION TO STORIES FROM PEOPLE DIRECTLY AFFECTED BY THE HIGH BURDEN OF DRUG COSTS. DEVELOP ACTIONABLE POLICIES TO LOWER DRUG COSTS:STRATEGIES TO REDUCE THE RISING COST OF PHARMACEUTICALS WERE A KEY COMPONENT OF OUR WORK TO LOWER HEALTHCARE SPENDING. IN PARTICULAR, DEMONSTRATING PUBLIC SUPPORT FOR AND A POLICY STRATEGY TO EMPOWER CMS (THE SINGLE LARGEST PURCHASER OF HEALTHCARE IN THE US) TO NEGOTIATE DRUG PRICES FOR MEDICARE IS A KEY PRIORITY. IN ADDITION TO BUILDING STAKEHOLDER SUPPORT FOR THESE POLICIES IN 2020, WHPC ALSO ENGAGED WITH THE BUSINESS COMMUNITY, PARTICULARLY THOUGH WORK WITH PACIFIC BUSINESS GROUP ON HEALTH (PBGH NOW KNOWN AS THE PURCHASER BUSINESS GROUP ON HEALTH, A NONPROFIT COALITION REPRESENTING NEARLY PRIVATE EMPLOYERS AND PUBLIC ENTITIES WHICH PURCHASE HEALTHCARE SERVICES FOR THEIR EMPLOYEES) ON DRUG COST ISSUES. WHPC ALSO ASSEMBLED THE COUNCIL FOR INFORMED DRUG SPENDING ANALYSIS (CIDSA), A COLLECTION OF ACADEMIC DRUG SPENDING EXPERTS WHO PROVIDE ORIGINAL RESEARCH AND ANALYSIS IN COUNTERPOINT TO PHARMACEUTICAL INDUSTRY MESSAGING. WHPC FOCUSED ON DEVELOPING TIMELY AND TARGETED RESEARCH AND ANALYSIS FOR POLICYMAKERS AND MEDIA THAT ACTIVELY COUNTERS THE PHARMACEUTICAL INDUSTRY'S NARRATIVES, INCLUDING ARTICLES PUBLISHED IN HEALTH AFFAIRS BLOG AND ACCEPTED IN JAMA OPEN. IN 2020, WHPC ALSO LEAD RESEARCH WHICH FOUND THAT MORE THAN 1.1 MILLION MEDICARE LIVES ARE AT RISK FOR DEATH OVER THE NEXT DECADE BECAUSE THEY CANNOT AFFORD TO PAY FOR THEIR PRESCRIPTION MEDICATIONS. MOREOVER, THIS STUDY CONCLUDED THAT GIVING MEDICARE THE AUTHORITY TO NEGOTIATE DRUG PRICES COULD PREVENT 93,900 DEATHS PER YEAR. THE RESULTS OF THIS WORK ARE MODELED ON AN INTERACTIVE WEBSITE TO ENGAGE MEDIA AND POLICYMAKERS ON THE HUMAN TOLL OF HIGH DRUG PRICES.DEVELOP ACTIONABLE POLICIES TO REDUCE VOLUME INCENTIVES IN FEE-FOR-SERVICE:VALUE-BASED CARE (VBC)WHICH INCORPORATES RISK FOR BOTH HEALTH AND SPENDING OUTCOMES INTO PAYMENT RATES HAS THE POTENTIAL TO REDUCE MANY OF THE VOLUME-BASED FINANCIAL INCENTIVES THAT ARE DRIVING UP PER-CAPITA HEALTHCARE COSTS. IN PARTNERSHIP WITH THE DUKE-MARGOLIS CENTER FOR HEALTH POLICY, WHPC RELEASED NATIONAL AND STATE ROADMAPS IN 2020 WITH RECOMMENDATIONS FOR POLICYMAKERS ON WAYS TO ACCELERATE THE ADOPTION OF VBC PAYMENT MODELS. THIS WORK INFORMED THE DESIGN AND LAUNCH OF A THREE-YEAR COLLABORATION WITH THE DUKE-MARGOLIS TEAM TO TURN THESE POLICY RECOMMENDATIONS INTO ON-THE-GROUND ACTION PRODUCING A HIGH-PROFILE WEBINAR IN 2020 TO EXAMINE THE ADVANTAGES THAT VBC OFFERS IN THE COVID-19 ENVIRONMENT, SPOTLIGHTING THE GARY AND MARY WEST PACE. ADDITIONALLY, OUR WORK WITH OTHER ALIGNED STAKEHOLDERS IN THE HEALTH COST AREA, INCLUDING THE COMMITTEE FOR A RESPONSIBLE FEDERAL BUDGET, ANALYZED AND DRAFTED A POLICY OPTION TO LOWER MEDICARE SPENDING AND IMPROVE EFFICIENCY THROUGH REFINEMENTS TO THE RISK-BASED MEDICARE ADVANTAGE PAYMENT FORMULA. A COLLABORATIVE PUBLIC RELEASE OF THIS POLICY OPTION IS PLANNED FOR 2021. WHPC ALSO COLLABORATED WITH THE (WHI) TO ANALYZE VBC MODELS FOR SENIOR CARE AND COVID-19 TREATMENT OUTCOMES WITH JOHNS HOPKINS RESEARCHERS IN 2020.DRIVE TRANSPARENCY IN THE HEALTH CARE SYSTEM ACROSS SEVERAL AXES:TRANSPARENCY, IN A VARIETY OF CONTEXTS, IS A VITAL COMPONENT OF ADDRESSING EXORBITANT HEALTH CARE COSTS. BUILDING ON WELL-PUBLICIZED RESEARCH FROM THE WHPC ON HIGH PRICES IN CALIFORNIA HOSPITALS, WHPC IS EXPLORING FURTHER WORK TO MAKE THIS INFORMATION ACCESSIBLE TO OTHER RESEARCHERS AND THE MEDIA LOOKING TO COMPARE PRICES IN THEIR COUNTY. ADDITIONALLY, OUR ONGOING WORK INCLUDES POLICY OPTIONS TO INCREASE PRICE TRANSPARENCY INCLUDING ESTIMATING AND DRAFTING A POLICY OPTION TO PREVENT HOSPITALS FROM CHARGING COMMERCIAL INSURANCE PRICES THAT ARE MORE THAN TWICE WHAT MEDICARE PAYS. A COLLABORATIVE PUBLIC RELEASE OF THIS POLICY OPTION IS PLANNED FOR 2021.ALSO IN 2020, WHPC COMPLETED THE ANALYSIS AND DESIGN OF AN INTERACTIVE WEB-BASED MODEL OF THE MEDICARE BUDGET IMPACTS AND BENEFICIARY SAVINGS FOR A POLICY TO CAP OUT-OF-POCKET COSTS IN MEDICARE. THIS POLICY WOULD HELP MILLIONS OF MEDICARE BENEFICIARIES WHO ARE NOT ABLE TO AFFORD PRIVATE SUPPLEMENTAL COVERAGE, IN ADDITION TO OBVIATING THE NEED FOR MANY TO PURCHASE IT TO AVOID CATASTROPHICALLY HIGH OUT-OF-POCKET COSTS. THIS WORK WILL BE RELEASED ON THE WHPC WEBSITE IN 2021, PAIRED WITH MEDIA AND POLICYMAKER OUTREACH.SUCCESSFUL AGING:WHPC CONTINUED TO IDENTIFY AND ADVANCE POLICIES WHICH SUPPORT THE ORGANIZATIONAL GOAL OF SUCCESSFUL AGING ENABLING SENIORS TO SUCCESSFULLY AGE IN PLACE WITH ACCESS TO HIGH-QUALITY, AFFORDABLE HEALTH AND SUPPORT SERVICES THAT PRESERVE AND PROTECT THEIR DIGNITY, QUALITY OF LIFE AND INDEPENDENCE. WHI AND WHPC HAVE LAUNCHED NUMEROUS INNOVATIVE COLLABORATIVE PROJECTS WITH EXPERIENCED AND TALENTED PARTNERS SUPPORTING SUCCESSFUL AGING. THESE PROJECTS HAVE HAD SUBSTANTIAL IMPACT BOTH ON THE INDIVIDUALS SERVED BY THE PROJECTS AND ON THE NATION, BY STUDYING, DEFINING, AND ESTABLISHING NEW STANDARDS FOR IMPROVED CARE AND AG</MediumExplanationTxt>
      </GeneralExplanationGrp>
      <GeneralExplanationGrp>
        <FormAndLineReferenceDesc>FORM 990-PF, PART VII-B, QUESTION 1A(3)</FormAndLineReferenceDesc>
        <MediumExplanationTxt>IN 2020 99TEN BUSINESS SOLUTIONS, LLC, IN WHICH A DISQUALIFIED PERSON OWNS GREATER THAN 35%, PROVIDED IT SERVICES IN THE AMOUNT OF $23,173 TO THE GARY AND MARY WEST HEALTH POLICY CENTER, INC. ON AN ARMS-LENGTH BASIS. THESE ARE PROFESSIONAL SERVICES AND ARE REASONABLE AND NECESSARY TO CARRYING OUT THE EXEMPT PURPOSE OF THE FOUNDATION. THIS IS AN EXCEPTED ACT OF SELF-DEALING UNDER IRC SECTION 4941(D)(2)(E).</MediumExplanationTxt>
      </GeneralExplanationGrp>
      <GeneralExplanationGrp>
        <FormAndLineReferenceDesc>ELECTIONS</FormAndLineReferenceDesc>
        <MediumExplanationTxt>SECTION 1.263(A)-1(F) DE MINIMIS SAFE HARBOR ELECTION TAXPAYER IS MAKING THE DE MINIMIS SAFE HARBOR ELECTION UNDER TREAS. REG. 1.263(A)-1(F) FOR ALL ELIGIBLE AMOUNTS PAID OR INCURRED DURING THE TAXABLE YEAR. SECTION 1.263(A)-3(N) CAPITALIZATION ELECTION TAXPAYER HEREBY ELECTS TO CAPITALIZE REPAIR AND MAINTENANCE COSTS UNDER TREAS. REG. 1.263(A)-3(N). THE COSTS WERE INCURRED DURING THE TAXABLE YEAR IN THE ELECTING TAXPAYER'S TRADE OR BUSINESS AND THE ELECTING TAXPAYER TREATS SUCH COSTS AS CAPITAL EXPENDITURES ON ITS BOOKS AND RECORDS.</MediumExplanationTxt>
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