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The Affordable Care Act and Businesses Where People are the Key


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ACA is coming. It will be the biggest business change since the Internet. Businesses have the opportunity to change the future of healthcare inthe US. Business' know how to control costs. Businesses (mostly) care about their employees.
Here we talk to the high level forces at work in healthcare including ACA.
And here we talk to things employers can do to take control of healthcare costs - before they no longer can.

Published in: Health & Medicine
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The Affordable Care Act and Businesses Where People are the Key

  1. 1. Small Business & Health Care For Businesses Where Your People are the Key ZeNeurobics LLC
  2. 2. Already rapidly increasing health insurance premiums set to jump dramatically Thanks to mandates that take effect in 2014, premiums in individual markets will shoot up. Some may double (WSJ OPED)*New ACA taxes and fees *Guaranteed Issuance andon insurers and the self- more coverage mandatesinsured*Affordable Care Act reduces *More and more doctors joiningspread between older and health systems reducing insurer’syounger insured premiums from negotiated rate leverage5x to 3x *Modified rating rules *Pent up demand and higher use of health resources as the*Lack of consumerism in health uninsured get insurance undercare – no price transparency ACAand no price shopping *Current system shields people from the financial impact of poor life *Wellness not embedded in our culture style choices that lead to chronic diseases
  3. 3. Average Annual Premiums for Single and Family Coverage, 1999-2012 Plus 2014 and 2015 potential premiums 1999 $2,196 $5,791 Single Coverage 2000 $2,471* $6,438* $2,689* Family Coverage 2001 $7,061* 2002 $3,083* $8,003* $3,383* 2003 $9,068* $3,695* 2004 $9,950* 2005 $4,024* $10,880* 2006 $4,242* $11,480* $4,479* 2007 $12,106* $4,704* 2008 $12,680* $4,824 2009 $13,375* $5,049* 2010 $13,770* $5,429* 2011 $15,073* 2012 $5,615 $15,745* $0 $2,000 $4,000 $6,000 $8,000 $10,000 $12,000 $14,000 $16,000 $18,000 $7,468 33%? 2014 $20,941 $9,321 $26,137 2015* Estimate is statistically different from estimate for the previous year shown (p<.05). 66%?Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2012.
  4. 4. Comparison of Debt Held by the Public - January 2010 and Fall 2010 GAO SimulationsTaking ACAInto account
  5. 5. What does it Mean•Per Capita spend on health care continues to grow faster than per capita GDP•Technology accounts for 50% of health care spending rise•R&D works – life expectancy increases as does lifetime cost•Spending increase in unsustainable over time (pick your GAO simulation assumptions)•Across the board changes in healthcare in practice, cost, and insurance will have the biggest impact on businesses since the Internet impacted operationsEmployers have an opportunity to affect this trend
  6. 6. The Employee’s Complex View of Health Care Records – EHR & PHR Facilities Doctors Insurance & Staff Banking FSA/HSA
  7. 7. Business can take the leadWhere? There need to be financial consequences to poor lifestyle. Reward good behavior and penalize bad behavior We need to become healthcare consumers. Usually we want the product that best meets our needs at the best price, but not in healthcare today. We need a culture of wellness. A good part of our health is in our own hands.How?We are already seeing premium penalties both from employer plans and in ACA –most often for smokers and morbidly obese peopleWe need price transparency, and outcome statistics along with advocates to helpemployees navigate the very complex eco system of healthcareEmployers need to offer wellness programs that provide intervention that can helpemployees and their families move to healthy life style habits.
  8. 8. Lifestyle Choices can Improve Health and Prevent Chronic DiseasesObesity is related to: Cognitive decline from: Heart disease Alzheimer’s disease Type 2 diabetes Vascular dementia Obstructive sleep apnea Mild Traumatic Brain Injury Some types of cancer Mild Cognitive Impairment Osteoarthritis US Chart of lifestyle effects & current medications on AD
  9. 9. Top Down Cognitive Wellness Good Heart Health Good Nutrition and Diet Mental Exercise Physical exercise Smoking Cessation Your brain is your most important organ – protect it