Challenging Corporate Health Care: Health Care Trends and the - - PowerPoint PPT Presentation

▶
challenging corporate health care health care trends and
SMART_READER_LITE
LIVE PREVIEW

Challenging Corporate Health Care: Health Care Trends and the - - PowerPoint PPT Presentation

Nov 19, 2023 365 likes •1.07k views

PRESENTATION TO HPAE Challenging Corporate Health Care: Health Care Trends and the Impact on Health Care Workers Plenary Session, October 6, 2016 Fred Hyde, M.D. Fred Hyde & Associates, Inc. Corporations Follow the Money Legislation, the

slide-1
SLIDE 1

PRESENTATION TO HPAE

Challenging Corporate Health Care: Health Care Trends and the Impact on Health Care Workers

Plenary Session, October 6, 2016 Fred Hyde, M.D. Fred Hyde & Associates, Inc.

slide-2
SLIDE 2

Corporations Follow the Money

Legislation, the 20th Century and the beginning of the 21st in America

  • Social Security, 1935
slide-3
SLIDE 3

Corporations Follow the Money

Legislation, the 20th Century and the beginning of the 21st in America

  • Social Security, 1935
  • Medicare and Medicaid,

1965

slide-4
SLIDE 4

Corporations Follow the Money

Legislation, the 20th Century and the beginning of the 21st in America

  • Social Security, 1935
  • Medicare and Medicaid,

1965

  • Fiddling with Medicare

and Medicaid, 1965-2010

slide-5
SLIDE 5

Corporations Follow the Money

Legislation, the 20th Century and the beginning of the 21st in America

  • Social Security, 1935
  • Medicare and Medicaid,

1965

  • Fiddling with Medicare

and Medicaid, 1965-2010

  • PPACA, 2010
slide-6
SLIDE 6

Corporations Follow the Money

Legislation, the 20th Century and the beginning of the 21st in America

  • Social Security, 1935
  • Medicare and Medicaid,

1965

  • Fiddling with Medicare

and Medicaid, 1965-2010

  • PPACA, 2010
  • Fiddling with PPACA,

2010-2016 .

slide-7
SLIDE 7

Corporations Follow the Money

Legislation, the 20th Century and the beginning of the 21st in America

  • Social Security, 1935
  • Medicare and Medicaid,

1965

  • Fiddling with Medicare

and Medicaid, 1965-2010

  • PPACA, 2010
  • Fiddling with PPACA,

2010-2016

  • Big repair, big

replacement, 2017 ff.

slide-8
SLIDE 8

Where is the money?

slide-9
SLIDE 9
  • rk,

The and N w

I

~ : stry

hi · hest em loyment :

ry s ate .

acturln

RJ t~l

t (

~

.1990

I

D.

sn

Okla.

ZDll

slide-10
SLIDE 10
slide-11
SLIDE 11
slide-12
SLIDE 12
slide-13
SLIDE 13
slide-14
SLIDE 14
slide-15
SLIDE 15
slide-16
SLIDE 16
slide-17
SLIDE 17
slide-18
SLIDE 18
slide-19
SLIDE 19
slide-20
SLIDE 20
slide-21
SLIDE 21
slide-22
SLIDE 22
slide-23
SLIDE 23
slide-24
SLIDE 24
slide-25
SLIDE 25
slide-26
SLIDE 26
slide-27
SLIDE 27
slide-28
SLIDE 28
slide-29
SLIDE 29
slide-30
SLIDE 30
slide-31
SLIDE 31
slide-32
SLIDE 32
slide-33
SLIDE 33
slide-34
SLIDE 34
slide-35
SLIDE 35
slide-36
SLIDE 36
slide-37
SLIDE 37
slide-38
SLIDE 38
slide-39
SLIDE 39
slide-40
SLIDE 40
slide-41
SLIDE 41
slide-42
SLIDE 42
slide-43
SLIDE 43
slide-44
SLIDE 44
slide-45
SLIDE 45

Where is the money?

IT: example, “Optum” now a $80 billion annual revenue company, foresees a world-wide market of $1.2 trillion

slide-46
SLIDE 46

Where is the money?

IT: example, “Optum” now a $80 billion annual revenue company, foresees a world-wide market of $1.2 trillion Pharma: pricing entirely out of control, largely due to government actions

slide-47
SLIDE 47
slide-48
SLIDE 48
slide-49
SLIDE 49
slide-50
SLIDE 50

Where is the money?

IT: example, “Optum” now a $80 billion annual revenue company, foresees a world-wide market of $1.2 trillion Pharma: pricing entirely out of control, largely due to government actions Finance: Steward arranges placement

  • f $1.2 billion with Medical Properties of

Alabama

slide-51
SLIDE 51

Where is the money?

IT: example, “Optum” now a $80 billion annual revenue company, foresees a world- wide market of $1.2 trillion for data Pharma: pricing entirely out of control, largely due to government actions Finance: Steward arranges placement of $1.2 billion with Medical Properties of Alabama Executive compensation throughout the health field: ‘nuf said

slide-52
SLIDE 52

What does this mean for negotiation?

slide-53
SLIDE 53

What does this mean for negotiation?

Larger and more powerful adversaries

slide-54
SLIDE 54

What does this mean for negotiation? Larger and more powerful adversaries Greater sophistication among negotiators

slide-55
SLIDE 55
slide-56
SLIDE 56
slide-57
SLIDE 57
slide-58
SLIDE 58

What does this mean for negotiation?

Larger and more powerful adversaries Greater sophistication among negotiators Less access to “the top” in larger health systems

slide-59
SLIDE 59

What does this mean for negotiation? Larger and more powerful adversaries Greater sophistication among negotiators Less access to “the top” in larger health systems Potential for conflict among locals or representatives

slide-60
SLIDE 60

What does this mean for negotiation? Larger and more powerful adversaries Greater sophistication among negotiators Less access to “the top” in larger health systems Potential for conflict among locals or representatives More “issues”

slide-61
SLIDE 61

Some New Jersey Issues

How these changes in hospitals and health care will “show up” in New Jersey

slide-62
SLIDE 62

Some New Jersey Issues

How these changes in hospitals and health care will “show up” in New Jersey

  • Scoundrels
slide-63
SLIDE 63

Some New Jersey Issues

How these changes in hospitals and health care will “show up” in New Jersey

  • Scoundrels
  • Underserved

communities

slide-64
SLIDE 64

Some New Jersey Issues

How these changes in hospitals and health care will “show up” in New Jersey

  • Scoundrels
  • Underserved

communities

  • Dis-served patients
slide-65
SLIDE 65

Some New Jersey Issues

How these changes in hospitals and health care will “show up” in New Jersey

  • Scoundrels
  • Underserved

communities

  • Dis-served patients
  • Unhappy doctors
slide-66
SLIDE 66

Some New Jersey Issues

How these changes in hospitals and health care will “show up” in New Jersey

  • Scoundrels
  • Underserved

communities

  • Dis-served patients
  • Unhappy doctors
  • Occasional tragedy
slide-67
SLIDE 67

Some New Jersey Issues

How these changes in hospitals and health care will “show up” in New Jersey

  • Scoundrels
  • Underserved

communities

  • Dis-served patients
  • Unhappy doctors
  • Occasional tragedy
  • Higher public cost
slide-68
SLIDE 68

Some New Jersey Issues

How these changes in hospitals and health care will “show up” in New Jersey

  • Scoundrels
  • Underserved

communities

  • Dis-served patients
  • Unhappy doctors
  • Occasional tragedy
  • Higher public cost
  • Higher private cost
slide-69
SLIDE 69

Some New Jersey Issues

How these changes in hospitals and health care will “show up” in New Jersey

  • Scoundrels
  • Underserved

communities

  • Dis-served patients
  • Unhappy doctors
  • Occasional tragedy
  • Higher public cost
  • Higher private cost
  • Challenges to you