2. Our Healthcare System: Its Challenges Rising healthcare costs Growing numbers of uninsured Increasing shortages of caregivers Accelerating numbers of chronically ill

3. Provide access to affordable care Reverse the trend of avoidable illness Emphasize staying well Focus on information technology that leads to better healthcare decisions Meeting the Challenge Collectively...

4. …and Individually Achieve healthier lifestyles Take responsibility for health behaviors & choices

5. The Hospital Community’s Vision

6. What Would this Framework for Change Mean for Our Country & State? Reduced chronic illness Healthier, balanced lives for children & adults Efficient, affordable care Access to coverage & care Care experience would exceed expectations

7. Arizona’s Hospitals Promote Health $397 million in uncompensated care in 2008

8. Arizona’s Hospitals Promote Health $1 billion in community health improvement as well as other community benefit programs delivered to 1.5 million Arizonans—25 percent of the state’s population—in 2006

9. Focus on the Framework: Healthcare for All, Paid for By All Current Status High rates of uninsured in Arizona

10. Focus on the Framework: Healthcare for All, Paid for By All Framework for Change Creating a network of non-profit, non-government entities offering health plans that would: negotiate rates with providers compete with commercial insurers For hospitals to thrive in our communities, payment cannot be based on Medicare rates

11. Focus on the Framework: Wellness in Arizona Current Status Chronic disease is leading cause of death Obesity impacts significant numbers Consumers do not pursue prevention

12. Framework for Change Focusing on primary care Promoting healthy behaviors Focus on the Framework: Wellness in Arizona

13. Focus on the Framework: Efficient & Affordable Care in Arizona Current Status Premiums soaring People curtailing care due to cost Public payment system underpays, leading to higher cost to businesses & consumers

14. Focus on the Framework: Efficient & Affordable Care Framework for Change Create a value-based purchasing program Reauthorize Section 1011 Ban physician self-referral to hospitals in which they have a financial interest

15. Focus on the Framework: Highest Quality Care in Arizona Current Status Arizona’s national status as a leader Shortage of doctors, nurses & other healthcare professionals

16. Focus on the Framework: Highest Quality Care Framework for Change Increased investment in Graduate Medical Education (GME) Reduce avoidable hospitals re-admissions

17. Focus on the Framework: Best Information Good information Good results

18. Key Opportunities To Improve: Arizonans’ collective health status System efficiency Quality To Reduce: Chronic disease Administrative costs Uncompensated care

19. The Bottom Line Does the Plan: Expand access to healthcare Improve the health of our nation Emphasize quality Reduce costs