Presentation on Health Care Reform given to CEO groups and consultants for "C" level execs.

3. 04/18/11 Prepared by Chuck Kiskaden 949-636-3601 bbbbbbbbbb bbbbb Instructions on implementing Health Care Reform Legislation

4. 04/18/11 Prepared by Chuck Kiskaden 949-636-3601 OUT OF Contro l H C Insurance Cost Control Emergency Brake Handle Broken OFF

5. Supply and Demand Curve 04/18/11 Prepared by Chuck Kiskaden 949-636-3601 What happens when you change the demand, hold the cost and no change in Supply?

10. 04/18/11 Prepared by Chuck Kiskaden 949-636-3601

14. Macro Cost Shifting 04/18/11 Prepared by Chuck Kiskaden 949-636-3601

15. Macro Cost Shifting 04/18/11 Prepared by Chuck Kiskaden 949-636-3601 Pay Full Retail Medical paid at $.60 on the dollar Best Risks and Underinsured Poor Risks, Can’t afford Insurance, etc.

47. NOW – Silos of Payment 04/18/11 Prepared by Chuck Kiskaden 949-636-3601 Doctors HMO’s Hospitals Nursing Homes and ECF’s $$$ $$$ $$$ $$$ $$$ $$$ $$$

48. NOW – Silos of Payment 04/18/11 Prepared by Chuck Kiskaden 949-636-3601 Doctors HMO’s Hospitals Nursing Homes and ECF’s $$$ $$$ $$$ $$$ $$$ $$$ $$$

49. FUTURE? Accountable Care Organizations 04/18/11 Prepared by Chuck Kiskaden 949-636-3601 Doctors HMO’s Hospitals Nursing Homes and ECF’s $$$

51. 04/18/11 Prepared by Chuck Kiskaden 949-636-3601

53. What Cost Control Options do Employers currently have? 04/18/11 Prepared by Chuck Kiskaden 949-636-3601 Unavoidable Costs Cost Sharing (5% to 10%) Coverage Elections (0% to 15%) Plan Selection (5% to 10%) Provider Selection (5% to 10%) Prescription Therapies (5% to 7.5%) Disease Management (5% to 10%) While no silver bullets will solve the health care crisis, aggressive strategies in two to four areas will have a dramatic impact.

57. Information and Data Sources 04/18/11 Prepared by Chuck Kiskaden 949-636-3601

60. Health Care Web Sites 04/18/11 Prepared by Chuck Kiskaden 949-636-3601