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Presentation Title  Presenter’s Name  •  Date Proven Strategies for  Tackling Health Care Costs Jane Cooper  June 28
Workplace Application ,[object Object]
Key Words ,[object Object],[object Object]
Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health Care Reform ,[object Object],[object Object],[object Object]
Health Care Reform ,[object Object],[object Object],[object Object],[object Object]
Health Care Costs ,[object Object]
Health Care Costs ,[object Object]
Pricewaterhouse Coopers ,[object Object],[object Object],[object Object]
Pricewaterhouse Coopers ,[object Object],[object Object],[object Object]
Where do we spend money?
Prices are going up…
How to save money?
What about health care costs?
Education ,[object Object],[object Object],[object Object]
Key Challenges  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Beliefs drive Behaviors
Beliefs drive Behaviors ,[object Object]
Beliefs drive Behaviors ,[object Object]
The Importance of Plan Design ,[object Object]
Plan Design Decisions ,[object Object],[object Object],[object Object],[object Object]
Who is your Plan Participant? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Answers to these questions impact.. ,[object Object],[object Object],[object Object]
All Health Care is Local ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Jones Family
What concerns the Jones family? ,[object Object],[object Object],[object Object],[object Object]
How to engage the Jones Family? ,[object Object],[object Object],[object Object]
How to engage the Jones Family ,[object Object],[object Object],[object Object]
Reducing health care costs ,[object Object]
Case Study ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case Study ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Idea #1 ,[object Object],[object Object]
Idea #2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Successful Communication Plans  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pro-active versus Re-active ,[object Object],[object Object],[object Object],[object Object]
Idea #3 ,[object Object],[object Object]
Sample meeting topics ,[object Object],[object Object],[object Object],[object Object]
More topics – for Discussion ,[object Object],[object Object],[object Object]
Provider cost/quality information ,[object Object],[object Object]
Arthroscopy ,[object Object],[object Object],[object Object]
Facility Costs Medical Provider Community Hospital St. Mary’s Hospital Waukesha  Memorial Total Price $7,400.00 $14,350.00 $12,800.00 Discount Rate 10% 15% 11% Actual Discount $740.00 $2152.50 $1408.00 Discounted Balance $6660.00 $12,197.50 $11,392.00 Applied to Deductible (500) $500.00 $500.00 $500.00 Member Co-insurance (20%) $1232.00 $2338.90 $2178.40 Member Responsibility $1732.00 $2,838.90 $2,678.40 Employer Cost $4,928.00 $9,358.60 $8,713.60
Colonoscopy ,[object Object],[object Object],[object Object]
Facility Costs Medical Provider Endoscopy Center Regional Hospital Hospital Surgery Center Total Price $1,640.00 $2,945.00 $7,500.00 Discount Rate 35% 35% 35% Actual Discount $574.00 $1,030.75 $2,625.00 Discounted Balance $1,066.00 $1,914.25 $4,875.00 Applied to Deductible (500) $500.00 $500.00 $500.00 Member Co-insurance (20%) $113.20 $282.85 $875.00 Member Responsibility $613.20 $782.85 $1,375.00 Employer Cost $452.80 $1,131.40 $3,500.00
Leapfrog Data ,[object Object],[object Object],[object Object],[object Object]
Leapfrog Quality Information ,[object Object],[object Object],[object Object]
System Challenges ,[object Object],[object Object],[object Object],[object Object]
Cost & Quality ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cost & Quality ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What’s in it for Me? ,[object Object]
Idea #4 ,[object Object],[object Object],[object Object]
Carrot Strategy ,[object Object],[object Object]
Decisions by Members ,[object Object],[object Object]
Better Consumerism… ,[object Object],[object Object],[object Object],[object Object],[object Object]
It’s a Long Journey ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Keys to Success ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Proven Strategies for Tackling Health Care Cost

  • 1. Presentation Title Presenter’s Name • Date Proven Strategies for Tackling Health Care Costs Jane Cooper June 28
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  • 44. Facility Costs Medical Provider Community Hospital St. Mary’s Hospital Waukesha Memorial Total Price $7,400.00 $14,350.00 $12,800.00 Discount Rate 10% 15% 11% Actual Discount $740.00 $2152.50 $1408.00 Discounted Balance $6660.00 $12,197.50 $11,392.00 Applied to Deductible (500) $500.00 $500.00 $500.00 Member Co-insurance (20%) $1232.00 $2338.90 $2178.40 Member Responsibility $1732.00 $2,838.90 $2,678.40 Employer Cost $4,928.00 $9,358.60 $8,713.60
  • 45.
  • 46. Facility Costs Medical Provider Endoscopy Center Regional Hospital Hospital Surgery Center Total Price $1,640.00 $2,945.00 $7,500.00 Discount Rate 35% 35% 35% Actual Discount $574.00 $1,030.75 $2,625.00 Discounted Balance $1,066.00 $1,914.25 $4,875.00 Applied to Deductible (500) $500.00 $500.00 $500.00 Member Co-insurance (20%) $113.20 $282.85 $875.00 Member Responsibility $613.20 $782.85 $1,375.00 Employer Cost $452.80 $1,131.40 $3,500.00
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  • 59.