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Your Health Matters. Health Reform Initiative . Today’s objectives. Present facts regarding the health care cost and quality crisis Explain how King County labor and management are working together to lower the health care cost trend Introduce the Health Matters program Describe our role .
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Your Health Matters Health Reform Initiative
Today’s objectives • Present facts regarding the health care cost and quality crisis • Explain how King County labor and management are working together to lower the health care cost trend • Introduce the Health Matters program • Describe our role
Key issues • Health care costs • Health care quality
National health care costs Yearly increases of 11% to 20%
Imagine your rent or mortgage If your $1000 rent went up 11% per year… Doubles in 7 Years
King County’s health care costs are projected to rise 11% every year Doubles in7 years Inmillions of dollars
Why does it matter? If no action is taken, could impact: • Future benefits • Future pay • Future services to the community
What are other employers doing? • Premium share • Higher co-pays • Higher deductibles • Benefit reductions
Cost shift is not a long term solution • Will not slow cost increases • Will not improve care • Employees cannot afford it NOT A LONG TERM SOLUTION
Key issues • Health care costs • Health care quality
What is quality care? • Following best practices to ensure the right care, in the right setting, at the right time
Quality and cost connection Inefficient care = expensive care Example: Diabetes • Medication & Supplies = $13,243/year • Dialysis = $66,000/year
Executive Sims I refuse to accept that the only strategy is to shift significant costs to employees or cut benefits. It is time for bold, innovative strategies.
Health Reform Initiative • Improve quality of care • Improve/maintain our health • Slow the increase in health care costs
Health Reform Initiative goal To get qualityhealth care that remains affordable
Health Reform Initiative components Puget Sound Health Alliance Health Matters Your Benefits
Puget Sound Health Alliance • Improve quality of care Puget Sound Health Alliance Health Matters Your Benefits
PSHA members • King County • City of Everett • Starbucks • City of Seattle • Recreational Equipment, Inc. (REI) • Washington Mutual • Group Health Cooperative • Pacific Medical Centers • Puget Sound Energy • Regence BlueShield • State of Washington • Virginia Mason Medical Center • Washington State Pharmacy Association • And more…
Health Matters • Provide information, education, tools, and resources Puget Sound Health Alliance Health Matters Your Benefits
Your Benefits • Focus on disease prevention, disease management, and health promotion Puget Sound Health Alliance Health Matters Your Benefits
What’s your role? • Choose Well • Use Well • Live Well
Choose Well • Choose the right health care provider
Use Well • Communicate with your health care provider • Use services to get the right care, at the right time, in the right setting • Seek health care information
Live Well • Take care of yourself
What’s next? • Read the Health Matters newsletter • Attend Health Matters presentations • Look for CTV programs • Visit Web site www.metrokc.gov/Employees
Summary • Health care costs are rising too fast • Health care quality can be better • Labor and Management are working together • Health Reform Initiative: Taking action to improve health and slow cost rise • We all have a role • Health Matters will support you
We want to hear from you • E-mail: health.matters@metrokc.gov • Web site feedback www.metrokc.gov/employees • Call Benefits and Retirement Operations Services 206-684-1556