1. Winning a “Smart” Health Insurance Exchange for California Food and Drug Council June 15, 2011 Mark Blum, Executive Director America’s Agenda: Health Care for All

2. Why does the state insurance exchange matter to Unions? Labor wants all working families to have affordable, high quality health insurance. Flawed design of ACA premium subsidy program will incent some union employers to drop insurance, particularly for lower income workers. That could put some union members in the exchange. State exchanges will be models for broader reform. If the exchange doesn’t succeed, costs of uninsured workers will continue to be shifted on to insured workers and employers.

3. What's driving up health care cost at a rate 3 to 4 times faster than wages?

4. Key to the solution: Transforming the delivery of care

5. Team Care Savings

6. 2010 Downstream Utilization

7. Heart Mission: Creating A Smart Exchange 1. Every participating insurer provides each beneficiary at least one team care option. 2. Consumer access to easily comparable information about quality and prices of insurance plans and care delivery options. 3. Robust competition between insurance plans and care delivery options.

8. HEART Participating Organizations Kaiser Permanente Catholic Healthcare West California Blue Shield SEIU-UHW HMC Health Access ULLICO Safeway Premier Benefits Solutions California Academy of Family Physicians California Federation of Labor UFCW 8– Golden State AARP Segal Company Med Expert International California Chronic Care Coalition