moving minnesota toward better, more affordable health care

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MOVING MINNESOTA TOWARD BETTER, MORE AFFORDABLE HEALTH CARE Andrea Walsh Executive Vice President / Chief Marketing Officer HealthPartners Sept. 25, 2012

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Court decision to uphold the Affordable Care Act did little to clarify the future of health care reform and what it means for business. And once again, health care policy will be one of the key issues helping to decide this year’s presidential election. In late August, two of Minnesota’s most storied names in health care – HealthPartners and Park Nicollet – announced plans to combine their operations at the beginning of next year. Learn about the motivation behind one of the most significant local health care partnerships in decades. And, more importantly, hear how it relates to broader health care trends in our state and the important implications for Minnesota businesses and communities. Andrea Walsh, Executive Vice President and Chief Marketing Officer, HealthPartners,Inc.

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Page 1: Moving Minnesota Toward Better, More Affordable Health Care

MOVING MINNESOTA TOWARD BETTER, MORE AFFORDABLE HEALTH CARE

Andrea WalshExecutive Vice President / Chief Marketing Officer

HealthPartnersSept. 25, 2012

Page 2: Moving Minnesota Toward Better, More Affordable Health Care

Experience

Health

Affordability

Page 3: Moving Minnesota Toward Better, More Affordable Health Care

1. History of strong collaboration

2. Better access, better coverage

3. Reforms and incentive in payment

Page 4: Moving Minnesota Toward Better, More Affordable Health Care

$9,235(2002)

$10,168 $11,192

$12,214 $13,382

$14,500 $15,609

$16,771 $18,074

$19,393(2011)

$20,944 $22,620

$24,430 $26,384

$28,496

$30,774

$33,236

$35,895

$38,767

$41,868(2021)

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021

Health care expenses for U.S. families2002-2021 (projected at present growth rate)

Source: 2011 Milliman Medical Index

Page 5: Moving Minnesota Toward Better, More Affordable Health Care

$9,235(2002)

$10,168 $11,192

$12,214 $13,382

$14,500 $15,609

$16,771 $18,074

$19,393(2011)

$20,944 $22,620

$24,430 $26,384

$28,496

$30,774

$33,236

$35,895

$38,767

$41,868(2021)

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021

Health care expenses for U.S. families2002-2021 (projected at present growth rate)

Source: 2011 Milliman Medical Index

Income: $42,093Income: $42,093

Income: $59,858Income: $59,858

Page 6: Moving Minnesota Toward Better, More Affordable Health Care

Community safety

Education

Family & social support

Employment

Built environment

Environmental quality

Income

Unsafe sex

Alcohol use

Diet & exercise

Tobacco use

Access to care

Quality of care

Physical environment(10%)

Social & economic factors(40%)

Health behaviors(30%)

Clinical care(20%)

Health Factors

Programs and Policies

Health OutcomesMortality (length of life): 50%

Morbidity (quality of life): 50%

County Health Rankings model © 2010 UWPHI

Page 7: Moving Minnesota Toward Better, More Affordable Health Care

The four essentials of reform

1.Support healthy lifestyles.

2.Redesign care.

3.Reform the way we pay.

4.Drive everything with data.

Page 8: Moving Minnesota Toward Better, More Affordable Health Care

Being physically

active

Not smoking

Eating 5 fruits and

vegetables each day

Drinking alcohol in

moderation

Page 9: Moving Minnesota Toward Better, More Affordable Health Care

% patients with Optimal Diabetes Control*

* controlled blood sugar, BP and cholesterol (per ICSI guideline A1c changed from < 7 to < 8 in 1Q09 and BP control changed from <130/80

to <140/90 in 3Q10), AND daily aspirin use, AND non-tobacco user

Total Cost Index

(compared to statewide average)< 1 is better than network average

The Triple Aim in action

43%HealthPartners Delivery System

Page 10: Moving Minnesota Toward Better, More Affordable Health Care
Page 11: Moving Minnesota Toward Better, More Affordable Health Care

Consumers in the Drivers Seat

The new norm:DeductiblesDefined contributionRetail careLower-cost care optionsHealth and wellness programming

Consumer-driven plans up 30% year on year

Page 12: Moving Minnesota Toward Better, More Affordable Health Care
Page 13: Moving Minnesota Toward Better, More Affordable Health Care

No data Abundant, useful information

Unknown results Transparent results

Little collaboration Frequent collaboration

Treat disease Prevent disease

Passive consumer Powerful consumer

What the reformed market looks like

Page 14: Moving Minnesota Toward Better, More Affordable Health Care

Experience

Health

Affordability

Page 15: Moving Minnesota Toward Better, More Affordable Health Care

MOVING MINNESOTA TOWARD BETTER, MORE AFFORDABLE HEALTH CARE

Andrea WalshExecutive Vice President / Chief Marketing Officer

HealthPartnersSept. 25, 2012