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Why join a business and health care coalition

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    Why join a business and health care coalition Why join a business and health care coalition Presentation Transcript

    • Why Join a Health Care Coalition? Jerry Custer, Executive Director Heartland Healthcare Coalition a member of the National Business Coalition on Health [XYZ Coalition logo]
    • Presentation Outline
      • Setting the Table: What Employers Want
      • Help is on the Way!
        • About the Heartland Healthcare Coalition
        • What we do?
        • What’s in it for me?
      • Advancing the Value Based Purchasing Agenda
    • Setting the Table: What Do Employers Want?
      • Three Things:
      • Lower health care costs
      • Improved workforce health and productivity
      • Quality health care services
    • But Employers are Bewildered
      • A Tale of Two Cities:
      • Worst of Times: Rising disease burden and health care costs put American industry at a competitive disadvantage
      • Best of Times: Industry leaders know that reengineering, technology, and a consumer focus can drive improved quality and lower costs
    • Something Employers Can Relate to
      • The business world appreciates efficient services costing less
        • Health care is no different
      • Better, safer, more appropriate health care as opposed to care delivered inefficiently, in unsafe environments and at the wrong time
    • What are the Impediments?
      • Not our business – “We make widgets”
      • Health care dynamics are hard to master
      • Provider silos
      • Difficult to look beyond individual employer strategy to collective engagement
    • Help is on the Way!
      • Coalitions of employers, acting together, have the purchasing leverage and political “cover” to move the market toward the health care system they want to buy
      • Transformation requires access to resources—resources that we can provide
      • Employers have an imperative role to play in the shift to value based purchasing
    • About the Heartland Healthcare Coalition
      • Founded in 1990
      • We have 45 members, representing 365,000 covered lives
        • Manufacturing & Service Industries, City & County Governments, Education, Healthcare, and Insurance/Financial organizations.
      • Our mission is to commit to working together to promote quality and cost-effectiveness in the allocation, management, and use of health care resources available in its member’s communities.
    • Coalition Member Value
      • Quality Improvement Initiatives
      • Group Purchasing Programs
      • Educational/sharing Opportunities
      • Opportunity to play an important role in shaping the healthcare system in our community for the future.
    • What We Do? Our Services
      • Heartland Healthcare Coalition offers the following services:
        • Examples include: group purchasing for PBM Services, Dental Plans, and Vision Plans; direct contracting for Centers of Excellence, and Physical Therapy Services; quality improvement initiatives; and community partnerships.
    • What We Do? Our Goals
      • Heartland Healthcare Coalition is committed to:
        • Fostering communications and action among business leaders on health care issues
        • Working with the local provider community
        • Value-based purchasing of health care services
        • Providing its members with educational opportunities that enhance their ability to become more knowledgeable in cutting-edge health care initiatives.
    • What’s in it For Me? Benefits of Coalition Membership
      • Strength in numbers - leverage the market for numerous health care services at group purchasing rates.
      • Pool expertise with experienced peers
      • Attend Annual Health Care Conference at reduced rates.
      • Receive HHC survey data on medical plan designs, costs, Rx plan designs, etc.
      • Share information & best practices - learn from your peers
      • Make a difference in the lives of your employees and in the community
    • National Business Coalition on Health
      • We are a member of the National Business Coalition on Health (NBCH), which represents nearly 60 coalitions across the country
        • 7,000 employer members
        • 25 million covered lives
      • NBCH’s mission is to provide superior membership service & to build the capacity of its membership to advance value based purchasing of health care services
    • NBCH Member Coalitions
    • Benefits of NBCH Membership
      • Members have access to NBCH’s network of coalitions and can benefit from networking, lessons-learned, best practices, tools and programs including:
        • All-member calls and webinars
        • Participation in NBCH’s Annual Conference, CEO/Corporate Leadership Roundtable, and National Health Leadership Council meetings
        • Access to the NBCH Members Only website
        • Access to the eValue8 RFI
        • Access to all NBCH publications
        • Access to government affairs and legislative updates
    • Value Based Purchasing (VBP) in a Nutshell
      • An Explanation from the Agency for Healthcare Research and Quality ( AHRQ )
        • Health care purchasers should hold health care providers accountable for both cost and quality
        • Information collected on quality of care, patient outcomes, and dollar outlays toward health help manage the system in its reduction of inappropriate care and reward for high-performing providers
      • Limited number of employers acting in bold ways but a moderate amount are taking necessary first steps
    • Advancing the Value Based Purchasing Agenda: Measure, Report, Reward, Inform, & Lead
      • NBCH’s Five Pillars:
      • Performance Measurement
      • Transparency and Public Reporting
      • Payment Reform
      • Informed Consumer Choice
      • Purchaser Leadership and Action
      • Accelerating the pace to the ultimate goal:
      • health and health care improvement
    • Great Battle Plan… but Where are the Employer Generals?
      • The unanswered question
      • “ Culture beats strategy every time”
      • Without top employer leadership engagement, there will be no reform
      • National and community leadership required
      • Join a coalition for additional support, guidance, and resources
    • Key Take Aways
      • There’s gold at the end of the rainbow of improving health care quality and efficiency
      • Business and health coalitions are the key to the vision of health care reform, through value based purchasing, community by community
      • The biggest obstacle to progress is not absence of value based purchasing strategies but absence of employer engagement and leadership
    • Contact Us
      • For more information about Heartland Healthcare Coalition or if you’re interested in membership, please contact Jerry Custer at 309-266-8812 or [email_address] or Holly Geier at
      • 309-266-8875 or [email_address]
      • Visit us on the web at www.hhco.org