Employer Leadership in Incubating a 60 MPG U.S. Health Care System
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© 2008 A. Milstein Arnold Milstein, MD, MPH Mercer Health & Benefits Pacific Business Group on Health Employer Leadership in Incubating a 60 MPG U.S. Health Care System September 16, 2008
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September 16, 2008. Employer Leadership in Incubating a 60 MPG U.S. Health Care System. Arnold Milstein, MD, MPH Mercer Health & Benefits Pacific Business Group on Health. - PowerPoint PPT Presentation
Transcript of Employer Leadership in Incubating a 60 MPG U.S. Health Care System
© 2008 A. Milstein
Arnold Milstein, MD, MPHMercer Health & BenefitsPacific Business Group on Health
Employer Leadership in Incubating a 60 MPG U.S. Health Care System
September 16, 2008
© 2008 A. Milstein
For the Dorsetts to Afford Coverage and a Continual Inflow of Medical Miracles, U.S. Clinicians Must…
Translational Efficiency
Lower total cost of care by ~ 35 percentage points by meeting “top quadrant” quality-cost benchmarks
Knowledge Turns
Lower total cost of care by >2.5 real percentage points every year thereafterand improve quality
(See Andy Grove’s ’05 JAMA article)
© 2008 A. Milstein
How Do Today’s Most “Fuel-Efficient” Clinicians in Top Quadrant Minimize (A) Health Crises/Year and (B) Cost/Contact?
Salient Caring With Outreach
Between Visits Lean Production of
Service Units Tight Mgmt of
MD Specialists
( Crises) ( Cost/Contact) ( Both)
© 2008 A. Milstein
Employer Paths to 60 MPG Care
1. Leading Employers: Via tiered MD networks and/or shared savings with MDs, create a market that encourages MD adoption of benchmark care delivery methods
2. Leading Edge Employers: Incubate MD discovery of benchmark care delivery methods, starting with primary care
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