Live Blog: Healthcare Conference: Public Policy Institute at JU

[TheCat]

We re getting started. Rick Mullaney is at the podium. The focus today is on the affordable care act in florida with attention to the exchanges.

[TheCat]

10 legislators from the florida house are here.

laparker
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Re: Top Hospitals opt out of Obamacare
« Reply #77 on: Today at 12:04:36 AM »
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The PPI Healthcare conference is tomorrow and there are plenty of hospital CEOs presenting. We have access to their presentations.

Follow on the link below to review today's presentations:

http://issuu.com/arashkamiar/stacks/39ed0cb262074bb08ca202c8653c7ce2


This is the link to the names & faces of the presenters:

http://www.metrojacksonville.com/article/2013-nov-jus-public-policy-inst-hosts-healthcare-policy-conf

Another Link to their bios:

http://www.ju.edu/PPI/Documents/JU%20PPI%20Healthcare%20Policy%20Conference%20-%20Presenter%20Bios%20(2013).pdf

)

[TheCat]

Ford Koles
Executive Director
The Advisory Board Company, Washington, DC

Is presenting.

Why would someone sign up with "obamacare"? Lower premiums but it is known that those who desperately need insurance  would sign-up. The problem is if the young, healthy do not sign-up. The actuarials cannot work out the young and healthy. It is possible that we will have a bunch of sign-ups at the last minute, as young and healthy people are prone to do....wait till the last minute.

[TheCat]

Koles presentation slides on this link:

http://www.ju.edu/PPI/Documents/JU%20PPI%20Healthcare%20Policy%20Conference%20-%20Ford%20Koles%20Presentation%20(2013).pdf

The big danger for florida.

(Check out his axioms of hospital economics)


The standard Robust employer sponsored coverage  is hampered high cost and more restrictions.

Steady public payer pricing : New Danger: Medicare rate cuts, contingent payments widening gap to goal for feasible cross- subsidization

Predictable Volume Channels
New Danger: Falling utilization rates coupled with non-traditional competition narrowing potential volume strea

[TheCat]

More threatening than employers dropping coverage...it's not that the affordable care act is causing employers to dropping healthcare. That trend was there prior to the act, 11% drop in one year.

The big issue is this...

Insurance companies are launching a new way to do insurance from defined benefit to defined contribution. It's the same change that was made as companies switched from pensions to 401k.

[TheCat]

The future of employer - sponsored insurance:

The movement is to high deductible plans, 5k to 7k deductibles...which means price sensitivity like never before.

[laparker]

New Competitors emerging in ripest markets. Walgreens is handling more than just treating runny noses. Walgreens is becoming primary care.

What do they do to price? This isn't a physician model. This is a nurse practitioner model.

Per Walgreens "Our vision is to become 'My Walgreens' for
everyone in America by transforming the
traditional drugstore into a health and daily
living destination..."

[laparker]

The way the market handles health care is changing dramatically. "big box co" aka Costco wants to become the largest primary care provider in the nation. Many people scoff at that as a possibility but it's possible. Prices will be driven down.


"Case in Brief: BigCo - Costco
• Large corporation with over 4,000 retail stores in the United States
• Phasing out current retail clinic model, extending primary care access through
virtual and in-store delivery channels"

[laparker]

Koles has one big message here the old way of doing things is dying. Compares the healthcare industry to major airlines that are failing.

[TheCat]

Commercial insurance companies recognize that they are losing and are trying what they can to keep customers by bundling benefits to justify high premiums.

Let's get the two groups who are spending money get closer together, meaning providers and patients.

Walmart streering employees to preferred providers for surgical care, "domestic medical tourism."

"travels cheap...healthcare is expensive." - walmart. Companies sendng patients to other states for cheaper treatment because of partnerships.

[TheCat]

Anticipating the "activated" patient.

In the past you didn't have to worry about prices but now we will care because we will have more out of pocket expense. There are apps that will tell you the cost of services for every spot in your town, city, state. So now, patients pull out their phone and say "oh, really" on prices at expensive patients.


On to Yelp!

Yelp originally started as a place to review doctors. Doctors are under review now by patients. Their reputation is at stake.

The health care industry is nervous because prices are going down...but the groups that lead with low prices will gain market share.

[TheCat]

Ford Koles is a brilliant speaker. He's calm, clear, methodical and keeps you engaged with really dry information. That's a skill. I hope the rest are as good! 

[TheCat]

laparker sign-in info is saved on my computer and I inadvertently posted under her name.

Koles just wrapped up. We are on to Patrick Geraghty, Chairman and CEO Blue Cross Blue Shield of Florida.

He leads with compliment Koles on a great presentation but saying we don't agree on some things.

You can follow Geraghty's presentation here:

http://issuu.com/arashkamiar/docs/ju_ppi_healthcare_policy_conference

[TheCat]

The same policy will double in monthly cost in 2014. It is important that the young, healthy person is in the pool to keep prices down.

How Florida Blue see the market place:

"everyone needs to change"

"patients are becoming consumers. They want information. They want choices. Frankly, that is a good thing."

We are on the backend of healthcare. We incentivized once people were ill. The shift needs to be on the front end. We are going to incentivize  on the front end, before people are sick.

[TheCat]

Geraghty, discussing how they are no longer an insurance company but a "health solutions company." Right now, we are in "we are awesome" part of his presentation. We are entering into how their change of mission is changing how they do business.

It sounds like Geraghty's Florida Blue is getting into actual healthcare vs insurance care.

Has purchased several physician groups and dozens of Patient Centered Medical Homes.

They are not trying to force one approach to every market but are open to every market having a unique solution.

Discussion of their retail centers because they understood that health care is moving towards a retail world.