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The Healthcare Bluebook
The Role of Consumers in Payment Reform
October 30, 2014
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- In-network prices can vary by 300% to 500% or more….
- …and consumers don’t have a clue.
The Problem Facing Consumers
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The Healthcare Bluebook The Role of Consumers in Payment Reform - - PowerPoint PPT Presentation
The Healthcare Bluebook The Role of Consumers in Payment Reform - - PowerPoint PPT Presentation
The Healthcare Bluebook The Role of Consumers in Payment Reform October 30, 2014 Michael ONeil 1 Strategy & Development The Problem Facing Consumers In- network prices can vary by 300% to 500% or more. and consumers
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Mission:
Help Consumers save money by finding quality care at a Fair Price
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The Healthcare Bluebook
Results:
Consumers save ~$1,500+ per event Employers save up to 12% of total medical cost
Approach:
Practical – Focus on what drives real savings
Simple – Intuitive, at-a-glance, Red-Yellow-Green
Integrated – Portals, Programs and Providers Stop
Choose
Save
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HCBB Fair Price: $1,300
First Things First – Understand What Drives Value
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It’s Not the Physician Cost….
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HCBB Fair Price: $1,300
…It’s the Facility
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Fair Price: $2,418
Colonoscopy (NYC) >600% Price Variation
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Fair Price: $505
Knee MRI (NYC) >600% Price Variation
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- Total Fair Price…not out-of-pocket
- Decisions are relative
- Where you start determines
where you finish
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Set the right “Anchor Point”
“Keep It Simple: To improve outcomes, choices should be simplified and actions made intuitive.”
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This is what we mean by… Simple.
Intuitive.
Focused. Effective.
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11 May, 2009
“Price variations for hospitals and physicians offering similar services are not explained by quality of care.” February, 2010
Quality is not the reason for price variation
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Simple…Clear…Consistent
$4.00 $20.00 $700 $3,500
Would you pay $20 / gallon for gas? So why pay 5-times too much for your health care?
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In Conclusion –
Start With What Works
Practical – Focus on what drives real savings
Simple – Intuitive, at-a-glance, Red-Yellow-Green
Integrated – Portals, Programs and Providers Stop
Choose
Save
Results:
Consumers save ~$1,500+ per event Employers save up to 12% of total medical cost