The future of employer based health care
Download
1 / 25

The Future of Employer Based Health Care - PowerPoint PPT Presentation

The Future of Employer Based Health Care Midwest Business Group on Health May 10-11, 2007 A Fine Mess We’ve Got Ourselves Into Purchasers Not Buying Right Plans Not Letting Provider Value Show Through Providers Not Seeing Business Case for Reengineering

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha

Download Presentation

The Future of Employer Based Health Care

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


The Future of Employer Based Health Care

Midwest Business Group on Health

May 10-11, 2007


A Fine Mess We’ve Got Ourselves Into

  • Purchasers Not Buying Right

  • Plans Not Letting Provider Value Show Through

  • Providers Not Seeing Business Case for Reengineering

  • PatientsNot In the Quality Game


Competitive Disadvantage for EmployersHealth Care Spending As Proportion of GDP Among US Major Trading Partners, 2003

Source: OECD


Competitive Disadvantage for Workers


Big Bucks – No Bang


Cadillac Prices, Yugo Quality…

  • Condition% Receiving Recommended

  • Care*

  • Breast cancer76%

  • Heart attack & coronary artery disease68%

  • Immunizations66%

  • High blood pressure65%

  • Asthma53%

  • Diabetes45%

  • Urinary tract infection41%

  • Sexually transmitted diseases37%

  • *McGlynn, et. al, New England Journal of Medicine, 2003


Injury to Insult

  • 44,000-98,000 plus deaths from errors during hospitalizations

  • 7,000 deaths from medication errors alone

  • Ambulatory unknown

  • Source: Institute of Medicine


Consumer Disconnect From CostSource of Private Health Care Expenditures As Share of National Total

Source: Office of the Actuary, Centers for Medicare & Medicaid Services


American’s Aren’t Paying the Bill – and They’re Still Not Happy

Source: Harris Interactive Poll


And the American Public is Losing Patience…

Source: Harris Interactive Poll


An Information Technology Wasteland

  • Average spent per worker on IT in health care – $1,000 per worker

  • Average spent per worker on IT in other industries – $8,000

  • Source: Department of Health and Human Services


IT Proliferation on a Slow TrackElectronic Health Records Adoption Curve

Time to Move From 10% to 80% Adoption

  • VCRs – 7 Years

  • E-mail – 11 years

  • Home PC - > 15 Years

Bush goal of 100% by 2014

Source: The RAND Corporation


Medium and Small Employers Bail OutFirms With 3-199 Employees Offering Health Benefits

Source: Kaiser Family Foundation, Employer Health Benefits, 2005


Increasing Pressure on Public SystemMedicare Spending Components As Proportion of GDP

Source: Medicare Trustee’s Report, 2005


Employer Responses

  • Managed care

  • Cost shifting

  • Consumer directed health plans

  • Transparency and P4P

  • Drop coverage


Where Do We Go From Here?


  • Do you believe the current system can be sustained?


CHRO View

  • 81% System cannot be sustained


  • Do you believe the current employment-based system should be strengthened and maintained?


CHRO View

  • 46.8% System of employment based

  • coverage should be strengthened

  • and sustained


It’s Time to Get Our House in Order…


CHRO View


Transparency a Priority

  • Require plans and providers to publicly report quality and cost


So is Pay-for-Performance

  • Require plans and providers to publicly report quality and cost


Steve Wetzell

Executive Vice President, Health Care Initiatives

(202) 789-7636

swetzell@healthcareRT.org


ad
  • Login