Your Health Matters Health Reform Initiative. 2 Today’s objectives ► Present facts regarding the health care cost and quality crisis ► Explain how King.

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Presentation transcript:

Your Health Matters Health Reform Initiative

2 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

3 Key issues ► Health care costs ► Health care quality

4 National health care costs Yearly increases of 11% to 20%

5 Doubles in 7 Years Imagine your rent or mortgage If your $1000 rent went up 11% per year…

6 King County’s health care costs are projected to rise 11% every year Doubles in 7 years In millions of dollars

7 Why does it matter? If no action is taken, could impact: ► Future benefits ► Future pay ► Future services to the community

8 What are other employers doing? ► Premium share ► Higher co-pays ► Higher deductibles ► Benefit reductions

9 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

10 Key issues ► Health care costs ► Health care quality

11 What is quality care? ► Following best practices to ensure the right care, in the right setting, at the right time

12 Quality and cost connection Inefficient care = expensive care Example: Diabetes —Medication & Supplies = $13,243/year —Dialysis = $66,000/year

13 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.

14 ► Improve quality of care ► Improve/maintain our health ► Slow the increase in health care costs Health Reform Initiative

15 Health Reform Initiative goal To get quality health care that remains affordable

16 Health Reform Initiative components Puget Sound Health Alliance Health Matters Your Benefits

17 ► Improve quality of care Puget Sound Health Alliance Health Matters Your Benefits

18 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…

19 Health Matters ► Provide information, education, tools, and resources Puget Sound Health Alliance Health Matters Your Benefits

20 Your Benefits ► Focus on disease prevention, disease management, and health promotion Puget Sound Health Alliance Health Matters Your Benefits

21 ► Choose Well ► Use Well ► Live Well What’s your role?

22 Choose Well ► Choose the right health care provider

23 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

24 Live Well ► Take care of yourself

25 What’s next? ► Read the Health Matters newsletter ► Attend Health Matters presentations ► Look for CTV programs ► Visit Web site

27 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

28 We want to hear from you ► ► Web site feedback ► Call Benefits and Retirement Operations Services

29 Questions?