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

4. IT IS MUCH MORE THAN THE QUOTE
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. Total Health Management Health Delivery Alignment
EACOs
EACOs
Analytics
Benefit Design
Total Health Management
Health Delivery Alignment

18. Workforce Health Management Today
Employees
Flu
Injury
Risk

19. Workforce Health Management Tomorrow
Risk
Flu
Injury

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

25. Welcome to The New Health Age!