Employer Health Intelligence Brainstorm
by Scott Jones
1. What do we think we know about Employers?
1.1. Economic Forces may be pushing them out of proving healthcare.
1.2. Employee health issues are transitioning to the C-Suite.
1.3. Employers are deeply concerned with reducing costs.
1.4. Looking for Predictibility
1.4.1. Looking for tools to craft and control the future
1.5. Looking for Healthier Workforce
1.5.1. Absenteeism
1.5.2. Retention
1.5.3. Productivity
1.6. Looking to improve employees perceived value of health benefit
1.6.1. shareholders perception of this
2. Employer Health Benefits Inflection (David Smith)
2.1. 1) Traditional Benefit Model [declining]
2.2. 2) Defined contribution (exchanges) [rising]
2.3. 3) Staying Self Insured [rising]
2.3.1. (small employers included)
2.4. Employee Shifting [rising]
2.4.1. Insurers dont love this (lose margin)
3. Other Insights
3.1. Utah exchange was created largely by the business community. -Rich
3.1.1. SL Chamber of Commerce
3.2. Payer Disintermediation
4. Filters
4.1. Types of Employers
4.2. Competition
4.3. Sweet Spot
4.4. Longevity/Sustainability of Product
5. What can LP Do?
5.1. Deep knowledge of value-based purchasing environment.
5.2. Competencies
5.2.1. ACO
5.2.2. Medicaid
5.2.3. Pharmacy
5.2.4. Insurance
5.2.5. Primary Research
5.2.6. Exchanges
6. Competition
6.1. Benefits Managers
6.1.1. Towers Watson
6.1.2. Insurers (TPAs)
7. Business Models
7.1. Private Exchange (David)
7.1.1. Development
7.1.2. Managemment
7.1.3. Convening
7.2. Employer Health Intelligence (Wayne)
7.2.1. Ongoing Contemporary Glimpse
7.3. Employer Health Study
7.3.1. Model out benefits
7.3.2. Consumerism
7.3.3. prospective data rather than historical claims data