Baby Boomers the Health Care Challenge


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This is a presentation illustrating a critical issue in the healthcare industry. It also demonstrates the collaboration skills of a team located in 3 different time zones to fulfill the course objectives.

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  • Before we look at a future solution for the Un- and Underinsured Baby Boomers, it is important to understand the root cause of the medical care and insurance dilemma facing the nation as a whole. Governor Lamm succinctly stated the problem, “The American public has come to feel entitled to what no nation can financially deliver—all the healthcare that is or may be beneficial to its health.” Yes, as a nation we have come to believe we have certain rights. The Baby Boomers in particular believe they are entitled to social security or health care paid for by the nation. This sense of entitlement is grounded in the DNA of this demographic group. They are a class with means that until recently could buy whatever they wanted or needed. Baby Boomers lack awareness of their mortality. They believe they can be forever 30. With the loss of jobs and health care benefits and watching their savings erode, they are just now learning they can not afford the high cost of services. The baby boomers by their nature are the class that can turn entitlement into reform. However, it will require a paradigm shift for Life at All Cost to Quality of Life. History gives us insight on the elements of a new model. When Samuel Smiles a radical of his era believed that government had roles to play in public health, regulation of industry, education, and public libraries. But he came to realize that people were largely responsible for their own welfare, and that they had the power to actually alter their economic position in society. His book , Self Help, is the definite source for inspiration and guidance. Building on Smiles guidance and the Baby Boomers ability to think and apply technology to a problem creates a viable foundation for a new Health Care Model that addresses un- and under-insurance of baby boomers that also suffer from the chronic illnesses discussed earlier. Baby Boomers will likely drive creation of the model, but the success is based on collaboration, another paradigm shift. Agencies and philanthropic organizations will build the bridge of understanding and collaboration. The Geriatric Education Centers were formed to understand the needs of the Baby Boomers, education health care professionals and place them in areas of greatest need. Physicians and other health care providers have seen the need to join forces to provide accountability for care. The Center for Medicare and Medicaid expect a savings of $960 billion over three years on Medicare Part A & B because of the shared resources. Philanthropic organizations and foundations also play a crucial row. They provide free or low cost screenings and services (skin cancer, hearing, sight) to the community as a preventative health care service. No time in history has society had the free access to health information and education and the self-monitor tools. The VA was one of the first health care organizations to begin testing Telehealth and web portal tools for patients. The research shows that self-service tools with cohort support does change behaviors and drives a more robust understanding of all the aspects of a condition. Oh that life, health care and insurance were such a simple panacea. Unfortunately, when people are involved problems with communication arise. Litigation is big business and Baby Boomers are key targets. As a class they are used to getting what they want. In health care when a procedure doesn’t yield to the patient ( or family or friends) expectation, the inclination is to file a lawsuit. For the new model to be successful, litigation as a solution needs to be reserved for major adverse situations. More common and controllable is information quality and security. Beneficiaries, practitioners and health service support organizations have responsibility to protect information form theft and ensure the accuracy and standardization of all data if the collaboration is to function efficiently. Finally, the regulators…compulsory compliance must give way and allow creation of processes and controls that are tailored levels of patient-business risk. Not all controls are required in all situations.
  • So what does the future hold for the Baby Boomer? An opportunity to take charge. To replace entitlement with Collaboration. Yes, health care is big business, but baby boomers have the education, technical know-how and political clout to create a health care model that is affordable because boomers are able to continue working, support a model that treats the whole person based on preventative care through education, self-service and collaboration with cohorts and medical professionals.
  • Baby Boomers the Health Care Challenge

    1. 1. Baby Boomers the Health Care Challenges Presented by: Russell Colleran, Elan Miles, DiannaLynn Schwartz, Tracy Waugh June 18, 2011 In fulfillment of Requirements for HS546 DeVry University, Keller Graduate School of Management
    2. 2. Outline <ul><li>Introducing the Boomers </li></ul><ul><li>Health Care Trends </li></ul><ul><li>Recruitment & Retention </li></ul><ul><li>The Future for Un- & Underinsured Boomers </li></ul><ul><li>Summary </li></ul><ul><li>Q&A </li></ul>
    3. 3. Introducing the Boomers <ul><li>Who are the Boomers (1946 -1964) </li></ul><ul><ul><li>Larges retiring demographic (since the ’60’s) </li></ul></ul><ul><ul><li>Strong political and economic influence </li></ul></ul><ul><li>Issues Boomers Face </li></ul><ul><ul><li>Chronic illness </li></ul></ul><ul><ul><ul><li>Obesity -> Diabetes, High Blood Pressure & Cholesterol </li></ul></ul></ul><ul><ul><li>Insurance </li></ul></ul><ul><li>Economic Environment Impact </li></ul><ul><ul><li>Recession </li></ul></ul><ul><li>Offsetting Future Medical Care Costs & Workforce Shortages </li></ul><ul><ul><li>Changes to retirement age </li></ul></ul><ul><ul><ul><li>Increases tax base </li></ul></ul></ul><ul><ul><ul><li>Reduces demand on SS </li></ul></ul></ul><ul><li>Boomer Facts </li></ul><ul><ul><li>Population 80,000,000 </li></ul></ul><ul><ul><li>Education </li></ul></ul><ul><ul><ul><li>HS Diploma 90% </li></ul></ul></ul><ul><ul><ul><li>College Degree 25% </li></ul></ul></ul><ul><ul><li>Median Income $100,000 </li></ul></ul><ul><ul><li>Median Net Worth $360,000 </li></ul></ul><ul><ul><li>Investments 73% </li></ul></ul><ul><ul><li>Home Owners 75% </li></ul></ul><ul><li>Characteristics </li></ul><ul><ul><li>Young Spirited </li></ul></ul><ul><ul><li>1:3 Obese </li></ul></ul><ul><ul><li>Change political movements </li></ul></ul><ul><ul><li>Donate to charitable causes, </li></ul></ul><ul><ul><li>Lead Fortune 100 companies </li></ul></ul><ul><ul><li>Starting 2 nd careers </li></ul></ul><ul><ul><li>Putting off Retirement </li></ul></ul>
    4. 4. Health Care Trends <ul><li>Drug Addiction (lack of holistic programs) </li></ul><ul><ul><li>4.3 million abuse street & prescription drugs </li></ul></ul><ul><ul><li>Current rehab programs lacking </li></ul></ul><ul><li>Long-term Care Insurance Cost </li></ul><ul><ul><li>Lack of understanding </li></ul></ul><ul><ul><li>Reliance on SS </li></ul></ul><ul><ul><li>Never done with out </li></ul></ul>
    5. 5. Health Care Trends <ul><li>Demands on Health Institutions </li></ul><ul><ul><li>Government Programs </li></ul></ul><ul><ul><li>Technology </li></ul></ul><ul><ul><li>Cost Increases </li></ul></ul><ul><ul><li>Alternatives based on Cost Containment </li></ul></ul><ul><ul><ul><li>Drive Health Professionals Out of the Industry </li></ul></ul></ul>Photo source:
    6. 6. Recruitment & Retention <ul><li>VA Health System </li></ul><ul><li>Shortage in Rural Areas </li></ul><ul><ul><li>Lack Traveling Nurses to Support Demand </li></ul></ul><ul><li>Recommendations for Overcoming Shortfall </li></ul><ul><ul><li>Government Plan </li></ul></ul><ul><ul><li>Dropping Medicare Patients </li></ul></ul><ul><ul><ul><li>Outliving the Program </li></ul></ul></ul><ul><ul><li>Increase retirement age </li></ul></ul><ul><li>Plans to Correct </li></ul><ul><ul><li>Lack of Practitioners </li></ul></ul>
    7. 7. The Future for Un- & Underinsured Boomers <ul><li>Current Health Care Insurance Model Unsustainable </li></ul><ul><ul><li>“ The American public has come to feel entitled to what no nation can financially deliver—all the healthcare that is or may be beneficial to its health.” Gov. Lamm, Colorado </li></ul></ul><ul><ul><li>Turning entitlement into reform </li></ul></ul><ul><ul><ul><li>Overcoming the fat years </li></ul></ul></ul><ul><ul><ul><li>Replacing Life at All Cost with Quality of Life </li></ul></ul></ul><ul><li>Looking Back to Look Forward </li></ul><ul><ul><li>Self Help, written in 1859, by Samuel Smiles </li></ul></ul><ul><ul><ul><li>Insight on the value of self-help and mutual co-operation </li></ul></ul></ul><ul><ul><li>Self-help + technology = a viable foundation </li></ul></ul><ul><li>A New Model </li></ul><ul><ul><li>Baby Boomer drive the model </li></ul></ul><ul><ul><ul><li>Thinkers that created solutions to other social and technical problems </li></ul></ul></ul><ul><ul><li>Agencies establish a bridge of understanding and collaboration </li></ul></ul><ul><ul><ul><li>GECs—educate and place health service professional </li></ul></ul></ul><ul><ul><ul><li>ACOs—Projected to reduce costs $960 billion between 2012 and 2015 </li></ul></ul></ul><ul><ul><li>Collaboration redefines health care as an integrated, holistic solution </li></ul></ul><ul><ul><ul><li>Telehealth </li></ul></ul></ul><ul><ul><ul><li>Web portals </li></ul></ul></ul><ul><li>Risks of the New Model </li></ul><ul><ul><li>Litigation </li></ul></ul><ul><ul><li>Information quality and security </li></ul></ul><ul><ul><li>Compulsory Compliance </li></ul></ul>
    8. 8. Summary <ul><li>Baby Boomer ‘Take Charge Program” for un- and underinsured would focus on: </li></ul><ul><ul><li>Collaboration </li></ul></ul><ul><ul><ul><li>Education </li></ul></ul></ul><ul><ul><ul><li>Adoption of new behaviors </li></ul></ul></ul><ul><ul><ul><li>Technology and para-health professionals for preventative, basic medical and mental health services </li></ul></ul></ul><ul><ul><ul><li>Low cost or free screenings </li></ul></ul></ul><ul><ul><li>Reduce unnecessary demand on services </li></ul></ul><ul><ul><li>Redefine the path to health from traditional drug therapy to an holistic process </li></ul></ul>
    9. 9. Q&A