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Tma winter conf 2012   radical change
 

Tma winter conf 2012 radical change

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  • 14% of US health care costs, or approximately $360 billion per year is spend on administration costs Could smart cards change Medicare? $163 billion, almost ½ of billing costs are borne by Medicare, Medicaid and insurance companies. The other ½ are born by doctors and hospitals. United Health Care electronic billing and credentialing could save $32 billion; 50% to physicians, 30% to insurers, and 20% to government.
  • Germany is the highest in the world

Tma winter conf 2012   radical change Tma winter conf 2012 radical change Presentation Transcript

    • Why Is Radical Change Necessary?
    • C. Bruce Malone, MD, President
    • Hospital Spending per Discharge, 2008
    * 2007. ** 2006. Source: OECD Health Data 2010 (Oct. 2010) Adjusted for Differences in Cost of Living
    • Leading health care attorney tells TMA: “Hospitals are a Burning Platform”
    • Where are We Now?
    • Health Care Costs by Age
    Source: Fischbeck, Paul. “US-Europe Comparisons of Health Risk for Specific Gender-Age Groups.” Carnegie Mellon University; September, 2009.  U.S. is spending much more for older ages
    • Myths & Realities of Cost Savings
    • $2.6 Trillion in 2010
    • U.S. Health Care Costs = 5 th Largest Economy in the World
    • Grew 2% Faster Than Overall Economy
      • For 30 Years
      • $100 Billion Increase per Year
    • How Can We Save 1% = $26 Billion?
    • Myth 1: Insurance Company Profits
    • Total Profits of 5 Largest Insurers
    • $11.7 Billion
    • 0.5% of Total U.S. Health Care Costs
    • Myth 2: Brand Name Drugs
    • Pharmaceutical Costs = 10% U.S. Health Care Spending = $260 Billion
    • From 2004 to 2009
      • Generics Go From 57% to 75% of All Drugs
      • Pharmaceutical Costs Increase 31%
    • Import Brand Name Drugs from Canada
      • Saves $5 Billion = 0.2% All Health Care $$$
    • $250K Cap on Noneconomic Damages
    • $500K Cap on Punitive Damages
    • $11 Billion Savings with 1-Year Statute of Limitations
    • $5 Billion Savings from 40% Cut in Liability Premiums
    • $6 Billion Savings from Decreased Defensive Medicine
      • Secondary to Training?
    • Myth 3: Medical Liability Reform
    • How Do We Tell In Advance Which Patients Will Cost Over $50,000?
    • Review of 20 Million Commercial Patients
      • Only 255 Patients Consumed Over $1 Million In 2010.
      • That’s 0.5% of All Costs
    • Myth 4: Expensive Patients
    • Billions of Wasted Dollars
    • Administration Costs
      • 14% of US Health Care Costs
      • $360 Billion per Year
      • Half Borne by Payers
      • Half Borne by Doctors and Hospitals
    • Reality: The Cost of Billing
    • 10% of Us Account for 64% of Health Care Spending
    • Most Have One or More of Seven Chronic Diseases
    • Reducing Avoidable Complications by 10% Saves $40 Billion a Year
    • More Savings Through Better Tertiary Prevention
    • Reality: The Cost of Chronic Care
    • Massive conversion to outpatient surgery
    • Dramatic drop in length of stay
    • Our Biggest Money Savers