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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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
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  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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