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Dr. Arnie Milstein: Is Employee Health Insurance Failing Americans?

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Dr. Arnold Milstein's slides from the Center for Health Journalism webinar, "Is Employee Health Insurance Failing Americans?" 7.23.19

More info: https://www.centerforhealthjournalism.org/content/employee-health-insurance-failing-americans

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Dr. Arnie Milstein: Is Employee Health Insurance Failing Americans?

  1. 1. ©2019 Milstein©2019 Milstein Large Employers’ Role in Improving the Value of American Healthcare Arnold Milstein Stanford Professor of Medicine PBGH Medical Director USC Annenberg Center Webinar July 23, 2019
  2. 2. ©2019 Milstein Great US Care Can Cost Less Source: IHA 2012 2 Performance of 200+ California Physician Groups Accountable for Value Tomorrow’s Positive value outliers Annual Risk-Adjusted Total Healthcare Spending Per Commercial Patient-Year QualityCompositeScore Today’s Positive value outliers
  3. 3. ©2019 Milstein 30 Years of Insufficient Remedies 3  PPO Discounts  Managed Care Plans  Consumer Directed + Wellness Plans  Enhanced Primary Care  Accountable Care Organizations  Virtual Care
  4. 4. ©2019 Milstein©2019 Milstein Data from: Kaiser Family Foundation analysis of Medicare spending data from Boards of Trustees; private health insurance spending data from the CMS National Health Expenditure data; GDP data from BEA (historical) and CBO (projected), and CPI data from the BLS (historical) and CBO (projected). Cosmetic dentistry by, Arnold Milstein Though Each Narrowed the Jaw Opening, Predation Persists 4
  5. 5. ©2019 Milstein©2019 Milstein The Road Ahead • Reluctance to Increase Deductibles • Steering to Higher Value Clinicians • Lowering Prices 5

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