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Employee Engagement: Your Tool for Tackling Health Care Costs   June 26-29, 2011 Las Vegas, Nevada
Topics we will cover ,[object Object],[object Object],[object Object],[object Object]
Objectives for Today ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health Care Costs ,[object Object],[object Object],[object Object]
Where do we spend money?
Who Are Stakeholders? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health Care Costs ,[object Object],[object Object]
Reducing health care costs ,[object Object]
Health Care Costs ,[object Object],[object Object],[object Object],[object Object],[object Object]
Health Care Costs Continue to Rise ,[object Object],[object Object],[object Object],[object Object]
Employers as Stakeholders ,[object Object],[object Object],[object Object],[object Object]
Complexity of Plans  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Indiana Client ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Wisconsin Client ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Colorado Client ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Observations ,[object Object],[object Object],[object Object],[object Object],[object Object]
Plan Design Decisions ,[object Object],[object Object],[object Object],[object Object]
Pro-active versus Re-active ,[object Object],[object Object],[object Object]
Idea #1 ,[object Object],[object Object],[object Object]
Value Based Purchasing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
System Challenges ,[object Object],[object Object],[object Object],[object Object]
Provider cost/quality information ,[object Object],[object Object]
[object Object],[object Object],[object Object],Value Based Purchasing
Arthroscopy ,[object Object],[object Object],[object Object]
Facility Costs Medical Provider Community Hospital St. Mary’s Hospital Waukesha  Memorial Total Price $7,400.00 $14,350.00 $12,800.00 Discount Rate 10% 15% 11% Actual Discount $740.00 $2152.50 $1408.00 Discounted Balance $6660.00 $12,197.50 $11,392.00 Applied to Deductible ($500) $500.00 $500.00 $500.00 Member Co-insurance (20%) $1232.00 $2338.90 $2178.40 Member Responsibility $1732.00 $2,838.90 $2,678.40 Employer Cost $4,928.00 $9,358.60 $8,713.60
Colonoscopy ,[object Object],[object Object],[object Object]
Facility Costs Medical Provider Endoscopy Center Regional Hospital Hospital Surgery Center Total Price $1,640.00 $2,945.00 $7,500.00 Discount Rate 35% 35% 35% Actual Discount $574.00 $1,030.75 $2,625.00 Discounted Balance $1,066.00 $1,914.25 $4,875.00 Applied to Deductible (500) $500.00 $500.00 $500.00 Member Co-insurance (20%) $113.20 $282.85 $875.00 Member Responsibility $613.20 $782.85 $1,375.00 Employer Cost $452.80 $1,131.40 $3,500.00
Potential/Actual Savings Procedure Providers Potential Savings Actual Savings Colonoscopy Dr. Maltz – Mayfair Digestive Center; Dr. Guda – Center for Digestive Health; Dr. Kumar – St. Luke’s Hospital $1,577 $0 Colonoscopy Dr. Kluiber – Northshore Surgical Center Estimate Only Estimate Only Hernia Repair Dr. Beckman – Community Memorial Hospital; Dr. Beckman – Froedtert Memorial Hospital; Dr. Armstrong – Wheaton Franciscan $7,832 $7,832 Mammogram Aurora Medical Center; St. Joseph’s Hospital; St. Mary’s Hospital $51 $51 MRI Center for Diagnostic Imaging; Open Advanced MRI; Smart Choice MRI $886 $657 TOTAL $10,346 $8,540
Cost Comparison Requirement
Decisions by Members ,[object Object],[object Object],[object Object],[object Object]
Incentive and Disincentive Plans ,[object Object],[object Object],[object Object],[object Object],[object Object]
Better Consumerism…  Valued Based Purchasing ,[object Object],[object Object],[object Object],[object Object],[object Object]
Idea #2 ,[object Object],[object Object]
Sample meeting topics ,[object Object],[object Object],[object Object],[object Object]
Successful Communication Plans  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Beliefs drive Behaviors
Beliefs drive Behaviors ,[object Object]
Beliefs drive Behaviors ,[object Object]
Cost & Quality ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cost & Quality ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sources for Quality Data ,[object Object],[object Object],[object Object],[object Object]
It’s a Long Journey ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Keys to Success ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Employee Engagement: Your Tool for Tackling Heath Care Costs

  • 1. Employee Engagement: Your Tool for Tackling Health Care Costs June 26-29, 2011 Las Vegas, Nevada
  • 2.
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  • 6. Where do we spend money?
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  • 27. Facility Costs Medical Provider Community Hospital St. Mary’s Hospital Waukesha Memorial Total Price $7,400.00 $14,350.00 $12,800.00 Discount Rate 10% 15% 11% Actual Discount $740.00 $2152.50 $1408.00 Discounted Balance $6660.00 $12,197.50 $11,392.00 Applied to Deductible ($500) $500.00 $500.00 $500.00 Member Co-insurance (20%) $1232.00 $2338.90 $2178.40 Member Responsibility $1732.00 $2,838.90 $2,678.40 Employer Cost $4,928.00 $9,358.60 $8,713.60
  • 28.
  • 29. Facility Costs Medical Provider Endoscopy Center Regional Hospital Hospital Surgery Center Total Price $1,640.00 $2,945.00 $7,500.00 Discount Rate 35% 35% 35% Actual Discount $574.00 $1,030.75 $2,625.00 Discounted Balance $1,066.00 $1,914.25 $4,875.00 Applied to Deductible (500) $500.00 $500.00 $500.00 Member Co-insurance (20%) $113.20 $282.85 $875.00 Member Responsibility $613.20 $782.85 $1,375.00 Employer Cost $452.80 $1,131.40 $3,500.00
  • 30. Potential/Actual Savings Procedure Providers Potential Savings Actual Savings Colonoscopy Dr. Maltz – Mayfair Digestive Center; Dr. Guda – Center for Digestive Health; Dr. Kumar – St. Luke’s Hospital $1,577 $0 Colonoscopy Dr. Kluiber – Northshore Surgical Center Estimate Only Estimate Only Hernia Repair Dr. Beckman – Community Memorial Hospital; Dr. Beckman – Froedtert Memorial Hospital; Dr. Armstrong – Wheaton Franciscan $7,832 $7,832 Mammogram Aurora Medical Center; St. Joseph’s Hospital; St. Mary’s Hospital $51 $51 MRI Center for Diagnostic Imaging; Open Advanced MRI; Smart Choice MRI $886 $657 TOTAL $10,346 $8,540
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