Dr. Paul Keckley Paul H. Keckley, Ph.D. Deloitte Center for Health Solutions Washington, DC. KEYNOTE: Health Reform – What does it mean for SE Michigan? What can we do?. The US health system: big, complex, fragmented, uneven…. ADMINISTRATORS/WATCHDOGS. Regulators. Media. Professional
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Health Reform – What does it mean for SE Michigan? What can we do?
Lack of capital and resources
in clinical knowledge
Lack of incentives for right behaviors
Lack of trust among Key Players
political will, leadership
Unfavorable report card grades are more likely among Gen X and Boomers (4 in 10) than among Gen Y and Seniors (3 in 10)
Most do not understand the “system” and believe it is wasteful. Insecurity about health costs is high:Seniors “in public plan” most favorable.
Source: 2009 Deloitte Survey of US Health Consumers, Deloitte Center for Health Solutions
Achieves $ TBD
Primary Care 2.0
Focus: Prevention, Chronic, LTC
Achieves $24-57B/yr savings
Focus: (1) Personalized medicine, (2) bundled based payments, (3) provider adherence/performance-based payments
Achieves uo to $30B/yr savings
Health Care Information Technology
Focus: (1) e-prescribing, (2) fraud detection(3) administrative cost reduction , (4) care coordination
Achieves $33-70 B/ yr savings