The Future of Employer Based Health Care - PowerPoint PPT Presentation

The future of employer based health care l.jpg
Download
1 / 25

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

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

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 l.jpg

The Future of Employer Based Health Care

Midwest Business Group on Health

May 10-11, 2007


A fine mess we ve got ourselves into l.jpg

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


Slide3 l.jpg

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

Source: OECD


Competitive disadvantage for workers l.jpg

Competitive Disadvantage for Workers


Big bucks no bang l.jpg

Big Bucks – No Bang


Cadillac prices yugo quality l.jpg

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 l.jpg

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 cost source of private health care expenditures as share of national total l.jpg

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 l.jpg

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

Source: Harris Interactive Poll


And the american public is losing patience l.jpg

And the American Public is Losing Patience…

Source: Harris Interactive Poll


An information technology wasteland l.jpg

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 track electronic health records adoption curve l.jpg

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 out firms with 3 199 employees offering health benefits l.jpg

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 system medicare spending components as proportion of gdp l.jpg

Increasing Pressure on Public SystemMedicare Spending Components As Proportion of GDP

Source: Medicare Trustee’s Report, 2005


Employer responses l.jpg

Employer Responses

  • Managed care

  • Cost shifting

  • Consumer directed health plans

  • Transparency and P4P

  • Drop coverage


Where do we go from here l.jpg

Where Do We Go From Here?


Slide17 l.jpg

  • Do you believe the current system can be sustained?


Chro view l.jpg

CHRO View

  • 81% System cannot be sustained


Slide19 l.jpg

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


Chro view20 l.jpg

CHRO View

  • 46.8% System of employment based

  • coverage should be strengthened

  • and sustained


It s time to get our house in order l.jpg

It’s Time to Get Our House in Order…


Chro view22 l.jpg

CHRO View


Transparency a priority l.jpg

Transparency a Priority

  • Require plans and providers to publicly report quality and cost


So is pay for performance l.jpg

So is Pay-for-Performance

  • Require plans and providers to publicly report quality and cost


Steve wetzell l.jpg

Steve Wetzell

Executive Vice President, Health Care Initiatives

(202) 789-7636

swetzell@healthcareRT.org


  • Login