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by Robert S. Galvin and Suzanne Delbanco. Three Key Points Stratify or Die ‘You Break It, You Own It” Don’t Mess with ERISA General Thoughts on Reform. Do Employers Want To Preserve ESI or Find An Exit Strategy?. YES. Is ESI Good or Bad for the Health Care System?. YES. -. +. - PowerPoint PPT Presentation
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1 R. S. Galvin, MD
September 21, 2007Alliance for Health Reform
• Three Key Points • Stratify or Die• ‘You Break It, You Own
It”• Don’t Mess with ERISA
• General Thoughts on
Reform
by Robert S. Galvin and Suzanne Delbanco
2 R. S. Galvin, MD
September 21, 2007Alliance for Health Reform
Do Employers Want To Preserve ESI
or Find An Exit Strategy?
3 R. S. Galvin, MD
September 21, 2007Alliance for Health Reform
Is ESI Good or Bad
for the Health Care
System?
4 R. S. Galvin, MD
September 21, 2007Alliance for Health Reform
Responsive
Innovative
Not Bound By Politics
Voluntary-Uninsured
Portability
Administrative Complexity
5 R. S. Galvin, MD
September 21, 2007Alliance for Health Reform
“You Break It , You Own It”
•“There’s No Such Thing as an Accident”
• “Every System is Perfectly Designed to Deliver the Results It Delivers.”
•One Person’s Wasteful Technology is Another Person’s Medical Miracle
6 R. S. Galvin, MD
September 21, 2007Alliance for Health Reform
Don’t Mess With ERISA
• ~90+ Million Americans Covered - And Satisfied
• 50 Separate Benefit Designs A Costly, Administrative Nightmare
• Eroding What Works To Fix What Doesn’t Is Doomed Policy Approach
Employers United On This Topic
7 R. S. Galvin, MD
September 21, 2007Alliance for Health Reform
Access Alone Is Not Health Reform
ACCESS
QUALITY
COST
HospitalRisk-Adjusted Mortality Rate
(RAMR)Columbia Presbyterian 3.93*
Lenox Hill 2.26
NYU Hospitals Center 1.95
Weil Cornell – NYP 0.95*
*Statistically Significant Source: 1999 – 2001 NY State Hospital and Surgeon Outcomes Report
Surgeon RAMR
State Total 2.25
Smith, C 4.15
Information Is Critical
9 R. S. Galvin, MD
September 21, 2007Alliance for Health Reform
Employer Mind-Set
• Does Change Address My Specific Issue?
• Will I Be Better Off?
• Is Responsibility Shared?
• How Do I Maintain Control?
Deal or No Deal: Employers More Open To Change . . . .But It Has To
Help Run The Business
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