From the purchaser’s perspective
Providers, in their experience as employers, might offer critical solutions
send employees to the emerging state healthcare exchanges being formed by the Patient Protection and Affordable Care Act.
The Kaiser/hret study confirms these observations: The percentage of employees enrolled in plans with a deductible of more than $1,000 tripled in the past five years in large vations to contribute to very significant challenges ahead for our health system and our economy. First, they need to be willing to raise some tough questions other purchasers ask on behalf of employees.
Why are costs rising faster than quality and safety are improving?
Employer and employee health costs are up 168% and 160%, respectively, compared with 1999, far ahead of inflation at 38% and salary growth of 50% during the same period. We cannot think of another industry with such steep cost increases. In the chance that one existed, it is likely that the industry could explain its growth related to a significant change in the market or the quality of the product. However, recent data on health quality and safety show neither apply to healthcare.
We’ve seen some modest and select improvements in performance in the past decade, but little to no improvements in an alarmingly poor safety record. For instance, the 2010 chart review of Medicare beneficiaries by HHS’ Office of the Inspector General found that 180,000