Why join a business and health care coalition

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Why join a business and health care coalition

  1. 1. 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]
  2. 2. 2 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
  3. 3. 3 Setting the Table: What Do Employers Want? Three Things:  Lower health care costs  Improved workforce health and productivity  Quality health care services
  4. 4. 4 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
  5. 5. 5 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
  6. 6. 6 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
  7. 7. 7 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
  8. 8. 8 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.
  9. 9. 9 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.
  10. 10. 10 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.
  11. 11. 11 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.
  12. 12. 12 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
  13. 13. 13 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
  14. 14. 14 NBCH Member Coalitions
  15. 15. 15 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
  16. 16. 16 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
  17. 17. 17 Advancing the Value Based Purchasing Agenda: Measure, Report, Reward, Inform, & Lead NBCH’s Five Pillars: 1. Performance Measurement 2. Transparency and Public Reporting 3. Payment Reform 4. Informed Consumer Choice 5. Purchaser Leadership and Action Accelerating the pace to the ultimate goal: health and health care improvement
  18. 18. 18 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
  19. 19. 19 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
  20. 20. 20 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 hhc@mtco.com or Holly Geier at 309-266-8875 or hhc2@mtco.com  Visit us on the web at www.hhco.org

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