The New Health Age: The Future of Health Care in America

1. The New Health Age: The Future of Health Care in America Jonathan Fleece Co-Author Advisor Health Care Attorney

4. Health Insurance & Benefits Going Forward IT IS MUCH MORE THAN THE QUOTE

5. The Current Landscape of Health Care in America “America’s state of health, the economic models driving health care choices and costs, and America’s health care delivery systems do not adequately foster the right incentives for American Stakeholders to (1) increase the quality of their health, (2) improve health care service to everyone, or (3) control health care costs. This reality is contributing to the rapid decline of America’s pride, financial strength, and competitive advantage in a global marketplace. It is, therefore, essential for America to acknowledge, embrace, and foster The New Health Age.”

6. Who Are America’s Health Care Stakeholders? • American companies of all sizes • Individuals of every age - young, old and in between • Public and private sectors • Workers and employers • Unemployed and employed • Patients and health care providers, including physicians, nurses, hospitals, and long term care providers • Payers and their beneficiaries • Teachers and students • Governments and citizens

7. The Dynamic Flows of the New Health Age • There are nine dynamic flows that are and will reshape health care in the New Health Age • They are grouped into three categories: • How we THINK about health care • How we DELIVER health care • The ECONOMICS of health care 

8. The Dynamic Flows About How We THINK About Health Care Sickness  Wellness Ignorance  Awareness/Understanding Opposition  Alignment

9. The Dynamic Flows About How We DELIVER Health Care Treatment  Prevention Reactive  Proactive Episodic  Wholistic

10. The Dynamic Flows of the ECONOMICS of Health Care Procedures  Performance Isolation  Integration Non-Efficient  Efficient

11. The New Structure of Health Care • Medical Homes • Integrated Delivery Systems (IDS) • ACOs and EACOs • Star Rated Medicare Advantage Plans • Health Insurance Exchanges

12. Medical Homes “Medical homes will function at the center of health care and be the catalyst for community-based collaborative care networks, expanding access to primary care and general health care services.” - David Houle and Jonathan Fleece “The New Health Age: The Future of Health Care in America”

13. Medical Homes • Not physical structures • Physician driven • Patient centered • Coordinated care • Appropriate care

14. Integrated Delivery Systems

15. Accountable Care Organizations • Think of top health care players coming together to collaborate in a board room • Agree on sharing bundled, capitated, and performance bonus payments • Contract with payers (government and private) • Appropriate care • Performance based

16. Employer Accountable Care Organizations (EACOs) • Employer funded health care benefit plans • New world around health management • Health care network design and partnering • Absenteeism management • Workforce productivity oriented

17. EACOs

18. Workforce Health Management Today

19. Workforce Health Management Tomorrow

20. What is the #1 Enemy Against a Workforce Health Incident?

21. Private Medicare Plans • High Performance Provider Networks • Agree on sharing bundled, capitated, and performance bonus payments • 5 Star Rating System • 85% of Medicare Funds Go To Health Care Services

22. Health Insurance Exchanges • Travelocity, Expedia, Orbitz for health care insurance • Shopping place for small business and “free riders” • Must address health management

23. New Models for Agencies & Brokers • Defining your market • Health management • Creating a competitive advantage • Can smaller agencies survive?

24. The New Health Age version of the Race to the Moon • Goal: to make America the healthiest country in the world by 2025 www.theracetoahealthyamerica.org

25. Welcome to The New Health Age! jfleece@blalockwalters.com Twitter @JonathanFleece 941.920.0494