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Political Malpractice: The Impact of the ACA
on American Employers

Speaker:

Stanley Hupfeld
Chairman
INTEGRIS Health Fou...
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Political Malpractice: The Impact of the ACA
on American Employers

Max Mihelich
Associate Editor
Workforce magazine

#WFw...
Political Malpractice: The Impact of the ACA
on American Employers

Stanley Hupfeld
Chairman
INTEGRIS Health Foundation

#...
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 Reason...
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
...
14 REASONS WHY THE SYSTEM IS SO
HARD TO REFORM (CONT’D)
6. History of
Entrepreneurship
 Social Service or a
Business

7. ...
14 REASONS WHY THE SYSTEM IS
SO HARD TO REFORM (CONT’D)

8. Market Driven?
9. Unclear Expectations/
Our Rights as a
Patien...
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 Expectatio...
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 P...
FORMULA FOR EMPLOYER
COST

$ = (# of Employees Covered) [EC]
x (Benefits) [B]
x (Use Rate of Those Benefits) [UR]
x (Provi...
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
Dissati...
EMPLOYER ISSUES

CONT’D

 Increasing Burden to
Employees
 Stop Coverage – Send
Employees to Internet
 Direct Contractin...
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 Tor...
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-Prof...
APPENDIX

(CONT’D)

6.

Implementation of EvidencedBased Medicine

7.

Standards for Information
Technology

8.

Accelerat...
APPENDIX

(CONT’D)

11. Hospitals as Change Agents
12. Serious Tort Reform
13. States as Laboratories
14. Money Already in...
Q&A
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Disruptive Times
Friday, March 7, 2014
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Political Malpractice: The Impact of the ACA on American Employers

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The Patient Protection and Affordable Care Act – or “Obamacare” as its opponents refer to it – is either the greatest piece of social legislation in the history of the United States or an abomination inflicted on the American public that will ultimately destroy our health system. Stanley Hupfeld dissects that health system and exposes the fallacies and prejudices of both political parties. Hupfeld explains that, if we are willing to make hard choices, we can indeed cover the uninsured, control costs and not bankrupt the country.

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Transcript of "Political Malpractice: The Impact of the ACA on American Employers"

  1. 1. 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
  2. 2. 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
  3. 3. 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
  4. 4. TOOLS YOU CAN USE Tweet  Click on “Post” in the Twitter widget. #WFwebinar @workforcenews #WFwebinar
  5. 5. TOOLS YOU CAN USE Speaker Bios Resources Media Player Q&A Slides Twitter Help Post Event Survey Share This #WFwebinar
  6. 6. 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
  7. 7. Political Malpractice: The Impact of the ACA on American Employers Max Mihelich Associate Editor Workforce magazine #WFwebinar
  8. 8. Political Malpractice: The Impact of the ACA on American Employers Stanley Hupfeld Chairman INTEGRIS Health Foundation #WFwebinar
  9. 9. POLITICAL MALPRACTICE & EMPLOYER CHOICES Presented by Stanley F. Hupfeld
  10. 10. 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
  11. 11. HIGHS AND LOWS OF AMERICAN MEDICINE  12-Patient Kidney Transplant Three States Nine Surgeons Three Hospitals
  12. 12. HIGHS AND LOWS OF AMERICAN MEDICINE  Nation’s First  Less Than Mile Away (CONT’D)
  13. 13. HIGHS AND LOWS OF AMERICAN MEDICINE (CONT’D)  Ying and Yang – Best and Worst
  14. 14. ESSENTIAL QUESTION  How to Deliver and Pay For:  High Quality Care  Reasonable Cost  Most People
  15. 15. ESSENTIALS OF AMERICAN MEDICINE  Retail Analogy
  16. 16. ESSENTIALS OF AMERICAN MEDICINE (CONT’D)  Not Insurance  Transfer of Payments
  17. 17. 14 REASONS WHY THE SYSTEM IS SO HARD TO REFORM 1. Tort System
  18. 18. 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
  19. 19. 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
  20. 20. 14 REASONS WHY THE SYSTEM IS SO HARD TO REFORM (CONT’D) 8. Market Driven? 9. Unclear Expectations/ Our Rights as a Patient
  21. 21. 14 REASONS WHY THE SYSTEM IS SO HARD TO REFORM (CONT’D) 10. View of Death
  22. 22. 14 REASONS WHY THE SYSTEM IS SO HARD TO REFORM (CONT’D) 11. Variation in Treatment
  23. 23. 14 REASONS WHY THE SYSTEM IS SO HARD TO REFORM (CONT’D) 12. We (Patients) Are Part of the Problem 13. American Expectations
  24. 24. 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
  25. 25. 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
  26. 26. UNDERSTANDING THE LAW  Individual Mandate, Health Exchanges, New Benefits
  27. 27. UNDERSTANDING THE LAW (CONT’D)  Employer Mandate and Consequences
  28. 28. EMPLOYER ISSUES  Increased Cost of Care versus New Expensive Benefits
  29. 29. EMPLOYER ISSUES (CONT’D)  Employer headache  Employer Must Control at Least One Variable in Formula  Employee Dissatisfaction  What is Competition Doing?
  30. 30. 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
  31. 31. EMPLOYER ISSUES (CONT’D)  Do Employers Continue to Support Financing Employee Health Care?
  32. 32. EMPLOYER ISSUES  Focus on Wellness CONT’D
  33. 33. 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)
  34. 34. THE REASON TO ACT  Lucy’s Story
  35. 35. 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
  36. 36. 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
  37. 37. 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
  38. 38. Q&A
  39. 39. 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
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