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Track D: Consumer Issues and Strategies in Disease Management

Explore strategies and challenges in consumer directed healthcare and disease management. Learn about chronic health conditions, healthcare costs, and the use of incentives to change behavior.

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Track D: Consumer Issues and Strategies in Disease Management

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  1. Track D: Consumer Issues and Strategies in Disease Management The Disease Management Colloquium May 11, 2006 Philadelphia

  2. Has anyone met a consumer – any consumer – who has been involved in the design of “Consumer Directed Healthcare”?

  3. The Business of Health Care in 2006… Chronic Health Conditions Underlie the Bulk of Health Care Costs 1% of people Diabetes Heart Failure Coronary Artery Disease Depression Chronic Pain Cancer Asthma and COPD Dementia Falls Obesity … 100% 80% 38% total cost 60% 40%  Premium level 20% 0% total cost 0% 0% 20% 60% 80% 100% 40% 20% of people 70% of people % of People

  4. The Business of Health Care in 2006… Chronic Health Conditions Underlie the Bulk of Health Care Costs What happens when we disrupt the revenue flow? To demand? To “discretionary” services? To insurance? 100%  80% 60% 40%   Premium level 20%  0% 0% 20% 60% 80% 100% 40% % of People

  5. Value Model Care Affordability Experience Value Clinical Quality Thanks to: Matt Stiefel Jim Bellows PhD

  6. Consumer Perspective Clinician Perspective Care Affordability Experience Purchaser Perspective Value Clinical Quality

  7. How do we get the consumer’s attention? • “Rules of the Game” model • “Managed Care” • Case management for high risk participants • “Skin in the game” model • Tiered co-pays • Coinsurance • High Deductible Health Plans • Tiered networks: hospitals, specialists, PCPs • Consumer Directed Plans • Do we need something in addition?

  8. Track D: Consumer Issues and Strategies in Disease Management Is Consumer Directed Healthcare the Magic Bullet?Paul Wallace, MD; Medical Director for Health and Productivity Management Programs; Kaiser Permanente Using Choice Incentives to Change Employee Behavior Michael Dermer; President and Chief Executive Officer; IncentOne So You Disclosed Disease Management Participation to the Patient's Secretary: Now What? Rebekah N. Plowman, Esq.Partner, Epstein, Becker, and Green Personalizing Patient Messages to Induce Behavioral Change Earl P. Steinberg, MD, MPP; CEO and President, Resolution Health, Inc. Using Financial Incentives to Change Employee Behavior Roger W. Reed, BSN, RN, FNP, PAChief Health Office Gordian Health Solutions, Inc.

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