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Healthcare cost us $3.4 Trillion in 2016!  Please help join the conversation to help find solutions for this important issue by completing the survey below.

1). THE TRADITIONAL EMPLOYER-INSURER MODEL SHOULD BE IMPROVED:
1). THE TRADITIONAL EMPLOYER-INSURER MODEL SHOULD BE IMPROVED:
The employer-sponsored healthcare model is becoming increasingly obsolete and counter-productive. This model requires employers to construct rigid and elaborate benefit plans to comply with complex government regulations, negotiate limited benefit options and prices with medical providers and insurance companies, and meet the needs of an increasingly diverse and complex workforce; all while healthcare technology and marketing forces impacting personal health rapidly change. Placing rigid and opaque employer and insurance company financial bureaucracies between the employee and the medical provider promotes employee health disengagement and disempowerment. Employer contributions are not fully transparent to employees, which creates a competitive challenge for the employer and it conceals the true cost of healthcare from the employee. In addition, the employer-insurer annual negotiations of ‘standard’ prices, benefit restrictions, and limited provider networks creates rigidity among medical providers and significantly stifles marketplace pricing flexibility, innovation and efficiency.
2). RELIABLE nation-wide medical PRICE and QUALITY INFORMATION should be available BEFORE HEALTH PRODUCTS AND SERVICES are PURCHASED.
2). RELIABLE nation-wide medical PRICE and QUALITY INFORMATION should be available BEFORE HEALTH PRODUCTS AND SERVICES are PURCHASED.
Full market transparency of medical Price and Quality information is critical for consumers to make effective, rational market decisions and drive demand for an efficient, high-quality supply of medical services. Reliable price and quality information is also critical as individuals are inundated with media advertising for drugs and medical services; as certain doctors and hospitals and may ‘over-treat’ patients to reduce malpractice exposure; and as providers exploit grossly inflated ‘list’ prices and selective discounts to maximize revenue. Transparent price and quality information is also vital for individuals to remain actively engaged in the economics of: making good health choices to lower the overall volume (cost) of health services required, and to appropriately reward efficient, high-quality health providers.
3). Practical and Powerful HEALTH STATUS-TREND Report should be Developed.
3). Practical and Powerful HEALTH STATUS-TREND Report should be Developed.
Measuring is key to managing. A simplified and standardized personal health status-trend report should be available to individuals. This ‘dashboard’ should contain the individual’s top (e.g. 10) health indicators translated to an easily understood scale with multi-year trends. Additional detail for key issues should also be available. This simplified annual physical and report should be widely available through highly efficient diagnostic centers.
4). HEALTH EXPLOITER TAX:
4). HEALTH EXPLOITER TAX:
Certain junk foods and other products which are scientifically proven to be highly detrimental to public health should incur a health tax to assist in funding public health and education.
5). HEALTH REGULATION should support TECHNICAL INNOVATION:
5). HEALTH REGULATION should support TECHNICAL INNOVATION:
Medical Association and regulatory requirements should be updated to permit trained specialists to provide high volume services more efficiently. This initiative should include reevaluating specialized training programs and requirements, unbundling certain traditional services and markets, and adjusting regulation to allow markets to better leverage technology - including augmented intelligence (AI).
6). Traditional Health INSURANCE COMPANY MODEL should be TRANSITIONED:
6). Traditional Health INSURANCE COMPANY MODEL should be TRANSITIONED:
The value which traditional health insurance companies provide has significantly diminished and they do not optimize medical innovation or individual health empowerment. The requirements to cover pre-existing conditions and provide increased benefits have moved this market to become and opaque government-supported monopolistic industry. With very little competition, insurers negotiate favorable terms with employers and manage costs by creating highly limited provider networks. This ‘central planned’ approach to competition destroys much of the individual’s engagement in their healthcare and, destroys the supply and demand for real price, quality, and effectiveness information that should be the life-blood of individual empowerment and provider innovation in a $3.4T market. The traditional health insurance company model should transition to the HMA/HSA model described in #7 below.
7). EMPOWER INDIVIDUALS with HEALTH MANAGEMENT ADVISORS (HMAs) and HSAs:
7). EMPOWER INDIVIDUALS with HEALTH MANAGEMENT ADVISORS (HMAs) and HSAs:
Individuals must be empowered with two critical tools to effectively manage their health – expert knowledge and financial accountability. Expert Knowledge - as drug and medical/bio-technology choices continue to explode, and provider specialization increases, individuals need an unbiased, reliable source of expert assistance to manage their health and navigate the highly complex health services market. A competitive market of Health Management Advisors (HMAs), providing services with augmented intelligence (AI) capabilities, for a flat annual fee is needed. Financial Accountability – establishing a standard HSA account for individuals and employers to accumulate savings and fund most of an individual’s health costs would promote overall health accountability and minimize the disempowering subsidies an individual is forced to pay. Combining HSAs with national pool plans for excess cost coverage would provide efficient protection against unusual costs, while also allowing individuals full choice in making treatment decisions while maximizing medical provider innovation and technological advancement. The HSA accounts should be available with HMA management assistance using block-chain or other modern technology to optimize efficiency.
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