Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Empowering Community Health Plans Through Transparent Advising
1. Highly confidential. Do not share without permission.Highly confidential. Do not share without permission.
1
Empowering Community-Owned Health Plans
The Lowest Hanging Fruit: Rationalizing Rx
2. 2
A MOVEMENT TO CORRECT THE STARK IMBALANCE
THERE’S MORE THAN ENOUGH MONEY TO FUND WORLD CLASS HEALTH CARE AND WHAT DRIVES 80% OF HEALTH OUTCOMES
What Drives Outcomes?
10%
Physical
Environment
40%
Social and
Economic Factors
30%
Health Behaviors
20%
Clinical Care
Where Do We Spend Money?
88%
Medical/Rx
[Note: prices 2.5x other countries
with worse outcomes]
4% Health Behaviors
8% Other
Collateral Damage
Fraud
Wasted Spending
Price-gouging hospitals
Profiteering PBMs
Inappropriate treatment
4. Highly confidential. Do not share without permission.Highly confidential. Do not share without permission.
HEALTH ROSETTA FRAMEWORK
Sourced from real-life successes of employers everywhere. Collectively, it sustainably
reduces health care spending by 30% or more.
Transparent,AlignedAdvisors
Transparent Open Networks
Independent, Active Plan Administration & Oversight
High-Performance Plan Design, Docs. & Risk Management
Major Specialties & Outlier Patients
Transparent Pharmacy Benefits
IndividualStewardship
EnablingTechnologies
Health Rosetta Market Network
Value-Based Primary Care
4
5-10%
5-10%
~5%
POTENTIAL SAVINGS
10-20%
10-20%
6. 6
Learn how to be liberated
from the status quo
Result: Overall savings 20-55% | 4 of 5 Steps invisible or clear
positive to members
L
Step 1
7. 7
ESTABLISHING A NEW HEALTH PLAN
Benefits
THE OLD WAY
L
Time
Learn how to be liberated from the status quo
8. 8
Optimize plan infrastructure
(e.g., advisor relationship, plan docs,
independent admin)
Result: Directly save 5-10% but impacts all spending
Invisible to members
O
Step 2
9. 9
ESTABLISHING A NEW HEALTH PLAN
THE OLD WAY
L
O
Benefits
Time
Optimize plan infrastructure
12. 12
Add Value Based Primary Care
(e.g., DPC with Rx woven in)
Result: Directly save 5-10% but impacts all spending
Positive, visible change for members
A
Step 4
13. 13
ESTABLISHING A NEW HEALTH PLAN
THE OLD WAY
L
O
C
A
Benefits
Time
Add Value-Based Primary Care
17. 17
THE HEALTH ROSETTA DIVIDEND
OUR KEY SOCIAL IMPACT METRIC FOR REDEPLOYING PREVIOUSLY SQUANDERED HEALTHCARE COSTS
2019 2020 & BEYOND
Hotelier pays for employees & their kids college education (crime plummets,
grad rates spike)
School district has $2B more available for education
Service center’s profit-sharing increases ~$1000/employee
Manufacturer/recycler: Forklift driver retires with executive-like payout
“Shop local” comes to healthcare recirculating $$ in local economies ($3-5k
per person per year)
~$400 million saved across Health Rosetta advisors < 1 year
We will repurpose $billions into
local people/economies
If the Health Rosetta was in a pill, it
would be the blockbuster drug of
the century in terms of improved
health outcomes.
18. Learn more with free book downloads
healthrosetta.org/friends