3. Supply and Demand Curve

4. Supply and Demand Curve What happens when you change the demand, hold the cost and no change in Supply?

7. Employer’s Forum Discussion on HealthCare Reform - 2009

8. Employer’s Forum Discussion on HealthCare Reform - 2009

9. Employer’s Forum Discussion on HealthCare Reform - 2009

16. Macro Cost Shifting

17. Macro Cost Shifting Pay Full Retail

18. Macro Cost Shifting Pay Full Retail Best Risks and Underinsured

19. Macro Cost Shifting Pay Full Retail Best Risks and Underinsured Poor Risks, Can’t afford Insurance, etc.

20. Macro Cost Shifting Pay Full Retail Medical paid at $.60 on the dollar Best Risks and Underinsured Poor Risks, Can’t afford Insurance, etc.

22. What Cost Control Options do Employers currently have? 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.

34. NOW – Silos of Payment Doctors HMO’s Hospitals Nursing Homes and ECF’s $$$ $$$ $$$ $$$ $$$ $$$ $$$

35. NOW – Silos of Payment Doctors HMO’s Hospitals Nursing Homes and ECF’s $$$ $$$ $$$ $$$ $$$ $$$ $$$

36. FUTURE? Bundled payment Doctors HMO’s Hospitals Nursing Homes and ECF’s $$$

46. Information and Data Sources

49. Health Care Web Sites