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.
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The Affordable Care Act and Businesses Where People are the Key
1. Small Business
&
Health Care
For Businesses Where
Your People are the Key
ZeNeurobics LLC
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 and
on insurers and the self- more coverage mandates
insured
*Affordable Care Act reduces *More and more doctors joining
spread between older and health systems reducing insurer’s
younger insured premiums from negotiated rate leverage
5x to 3x
*Modified rating rules *Pent up demand and higher use
of health resources as the
*Lack of consumerism in health uninsured get insurance under
care – no price transparency ACA
and 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. 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. Comparison of Debt Held by the Public - January 2010 and Fall 2010 GAO
Simulations
Taking ACA
Into account
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
operations
Employers have an opportunity to affect this trend
6. The Employee’s Complex View of Health
Care
Records –
EHR & PHR Facilities
Doctors
Insurance & Staff
Banking
FSA/HSA
7. Business can take the lead
Where?
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 help
employees navigate the very complex eco system of healthcare
Employers need to offer wellness programs that provide intervention that can help
employees and their families move to healthy life style habits.
8. Lifestyle Choices can Improve Health
and Prevent Chronic Diseases
Obesity 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. 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