Published on January 15, 2014
Political Malpractice: The Impact of the ACA on American Employers Speaker: Stanley Hupfeld Chairman INTEGRIS Health Foundation Moderator: Max Mihelich Associate Editor Workforce magazine #WFwebinar
TOOLS YOU CAN USE Audio Control Adjust the volume by sliding the indicator in the Media Player box to the left. Also check your computer’s volume for external speakers or headsets. #WFwebinar
TOOLS YOU CAN USE Q&A Type in your question in the “Q&A” box to the left. Click on “Submit.” These queries are visible by the presenter ONLY. #WFwebinar
TOOLS YOU CAN USE Tweet Click on “Post” in the Twitter widget. #WFwebinar @workforcenews #WFwebinar
TOOLS YOU CAN USE Speaker Bios Resources Media Player Q&A Slides Twitter Help Post Event Survey Share This #WFwebinar
FREQUENTLY ASKED QUESTIONS 1. May I receive a copy of the slides? YES! Click on the resource list located on the top left portion of your screen. 2. May I review the webinar recording at a later date? YES! You may log in again using today’s link to review the presentation on-demand. #WFwebinar
Political Malpractice: The Impact of the ACA on American Employers Max Mihelich Associate Editor Workforce magazine #WFwebinar
Political Malpractice: The Impact of the ACA on American Employers Stanley Hupfeld Chairman INTEGRIS Health Foundation #WFwebinar
POLITICAL MALPRACTICE & EMPLOYER CHOICES Presented by Stanley F. Hupfeld
TABLE OF CONTENTS Highs and Lows of American Medicine Essential Question Essentials of American Medicine 14 Reasons Why the System is So Hard to Reform Formula for Employer Cost Understanding Law Employer Issues Opportunities to Improve The Reason to Act Appendix Q&A
HIGHS AND LOWS OF AMERICAN MEDICINE 12-Patient Kidney Transplant Three States Nine Surgeons Three Hospitals
HIGHS AND LOWS OF AMERICAN MEDICINE Nation’s First Less Than Mile Away (CONT’D)
HIGHS AND LOWS OF AMERICAN MEDICINE (CONT’D) Ying and Yang – Best and Worst
ESSENTIAL QUESTION How to Deliver and Pay For: High Quality Care Reasonable Cost Most People
ESSENTIALS OF AMERICAN MEDICINE Retail Analogy
ESSENTIALS OF AMERICAN MEDICINE (CONT’D) Not Insurance Transfer of Payments
14 REASONS WHY THE SYSTEM IS SO HARD TO REFORM 1. Tort System
14 REASONS WHY THE SYSTEM IS SO HARD TO REFORM (CONT’D) 2. High Overhead 3. Medicine’s Secret 4. Hospitals as Part of the Problem 5. Cost Shifting
14 REASONS WHY THE SYSTEM IS SO HARD TO REFORM (CONT’D) 6. History of Entrepreneurship Social Service or a Business 7. Lack of Continuity
14 REASONS WHY THE SYSTEM IS SO HARD TO REFORM (CONT’D) 8. Market Driven? 9. Unclear Expectations/ Our Rights as a Patient
14 REASONS WHY THE SYSTEM IS SO HARD TO REFORM (CONT’D) 10. View of Death
14 REASONS WHY THE SYSTEM IS SO HARD TO REFORM (CONT’D) 11. Variation in Treatment
14 REASONS WHY THE SYSTEM IS SO HARD TO REFORM (CONT’D) 12. We (Patients) Are Part of the Problem 13. American Expectations
14 REASONS WHY THE SYSTEM IS SO HARD TO REFORM (CONT’D) 14. Our Words Are Part of the Problem We Are the Best Death Panels Health Care Decision Only Between You and Your Doctor
FORMULA FOR EMPLOYER COST $ = (# of Employees Covered) [EC] x (Benefits) [B] x (Use Rate of Those Benefits) [UR] x (Provider Payments) [PP] $ = EC x B x UR x PP
UNDERSTANDING THE LAW Individual Mandate, Health Exchanges, New Benefits
UNDERSTANDING THE LAW (CONT’D) Employer Mandate and Consequences
EMPLOYER ISSUES Increased Cost of Care versus New Expensive Benefits
EMPLOYER ISSUES (CONT’D) Employer headache Employer Must Control at Least One Variable in Formula Employee Dissatisfaction What is Competition Doing?
EMPLOYER ISSUES CONT’D Increasing Burden to Employees Stop Coverage – Send Employees to Internet Direct Contracting – Cut Out Middle Man Private Exchange – Let Employees Contract Plan
EMPLOYER ISSUES (CONT’D) Do Employers Continue to Support Financing Employee Health Care?
EMPLOYER ISSUES Focus on Wellness CONT’D
OPPORTUNITIES TO IMPROVE Implementation of Evidenced-Based Medicine Standards for Information Technology Serious Tort Reform Use the Money Already in the System Stimulate the Emergence of a Not-ForProfit Insurance Industry (for a complete list, see Appendix)
THE REASON TO ACT Lucy’s Story
APPENDIX (PP 141-150 IN BOOK) 1. Recommit to the Goal 2. Public Debate 3. Stimulate the Emergency of a Not-For-Profit Insurance Industry 4. Implement the Exchanges 5. Give Employers Real Choice
APPENDIX (CONT’D) 6. Implementation of EvidencedBased Medicine 7. Standards for Information Technology 8. Accelerate the Formation of Accountable Care Organizations 9. Physician Manpower 10. Clever Use of Tax Incentives
APPENDIX (CONT’D) 11. Hospitals as Change Agents 12. Serious Tort Reform 13. States as Laboratories 14. Money Already in the System 15. End of Life Care
JOIN OUR NEXT WEBINAR! Think Epic, Be Epic: A How-to Guide for Disruptive Times Friday, March 7, 2014 Webinars start at 2 p.m. Eastern / 11 a.m. Pacific Register for all upcoming Workforce Webinars at www.workforce.com #WFwebinar
Home » Events » Political Malpractice: The Impact of the ACA on American Employers. ... The Impact of the ACA on American Employers. Share: About; Register;
Call for Proposals. The Russell Sage Foundation initiative will support innovative social science research on the social, economic and political effects of ...
Gary Burtless discusses the Affordable Care Act's impact on employment in ... the ACA has induced employers to create more ... mislead America, ...
2 I. INTRODUCTION On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act (ACA), the most comprehensive reform of ...
Health professionals worry about the ACA’s impact on ... for employers that allow ... the Impact on America’s Nursing Workforce ...
View 311 Impact Of Aca posts, ... Employers to see impact of ACA/ObamaCare. ... Political Malpractice: The Impact of the ACA on American Employers.
Estimated Impacts of the Affordable Care Act on the Washington Economy ... Negative Impact of ACA Taxes, ... from the American Community Survey.
Testimony expresses concerns about the Affordable Care Act’s impact on America ... ACA to large U.S. employers is ... political landscape and ...
HOW WILL THE ACA AFFECT EMPLOYERS OF DIFFERENT ... The Urban Institute. ACA impacts on employers can vary on vari h tiitious characteristics Employer size;