5.1.3 Employers

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Healthcare Delivery Providers

135 classificações

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University of Minnesota

Healthcare Delivery Providers

135 classificações

Curso 2 de 5 em Specialization Healthcare Marketplace

Welcome to the exciting world of Healthcare Delivery Providers! This second course in the Healthcare Marketplace Specialization will help you understand the various providers of healthcare across the U.S. delivery continuum. We will explore the unique value proposition of the various providers- from hospitals and clinics to physicians to community based providers. We will dissect this important value chain using various lenses such as- site of care delivery, people who provide the care and payers who pay for care. You will also learn about the challenges facing these providers and the innovations they are creating in order to help transform this important industry. I will use readings such as a case study and videos to make this learning more experiential for you, so that you can see and feel the world of healthcare delivery. I will also explain the various acronyms and specialized terms used in healthcare, so that you become more proficient and familiar with the language. Given the fact that Healthcare is one of the largest industries in the U.S. and growing at an rapid pace, it is critical that current and future leaders understand the internal and external drivers that are shaping this industry. Current and future leaders will need to constantly innovate in order to sustain this industry into the future- by creating value for the end customer and the entire population, as well as increasing engagement of the humans who work within this industry. Get ready to take a deep dive into the complex ocean that is U.S. healthcare delivery- and make sure your oxygen tank is securely fastened!

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HEALTHCARE DELIVERY OF TOMORROW

As a way to wrap up this course, I will discuss some key stakeholders and their roles in influencing the healthcare delivery system and providers such as pharmaceutical and device companies, employers etc. I will then share some innovations in healthcare that I have personally experienced in order to showcase how the delivery providers are constantly improving the delivery model. Finally, I will offer some closing reflections and highlight some leadership skills that I have found essential in emerging healthcare leaders.

5.1.1 Governmental Payers4:06

5.1.2 Private Commercial Payers2:20

5.1.3 Employers5:06

5.1.4 Community/ Consumers6:56

5.1.5 Pharmaceuticals & Devices5:29

Conheça os instrutores

Dr. Rahul Koranne
Faculty
Carlson School of Management, Department of Finance

This is the healthcare delivery providers,

part of the Healthcare Marketplace Specialization module 5.1.3, Employers.

Learning outcomes for this last lecture will be to review how employers

impact healthcare delivery, so you would wonder where do the employers fit in?

Now actually, if you look at this, this is an employer,

this is an employer, this is an employer, this is an employer.

But also the employers, for example, for large firms and

manufacturing companies, have all these employees that are actually the patients.

One of the biggest things how employees work with health care delivery

is that they purchase insurance for their employees.

So, as we've seen most of the private health insurance in the United States

is purchased through employers.

For many, many decades, insurance has been a benefit of employment.

But also now, it is becoming an obligation for

some of the employers through the federal government and legislation.

Also, employers use their purchasing power, for example,

if it's a large employer with many, many employees, they could use their skill

to bring down the cost of insurance through the insurance plans.

Also, obviously, being an employer,

they have a vested interest in their employees health and productivity.

Second big thing that the employers do is to educate employees around

what is the total healthcare cost of the company?

So, what are the premiums that the employees are paying?

What are the premiums that the employers are paying?

Typically, in the US,

the employer pays a bigger share of the premium than the employee.

Although, that is being slowly shifted over to the employees.

Also, they can educate their employees about what is the employer doing

to bring down the premium and the overall healthcare delivery cost.

And also, they can educate the employees about what should the employees do

to bring down the overall cost for their company.

Another thing employers can do, and they're doing it more, and more, and

more is by creating healthy working places and

actually creating health for their employees.

So, a lot of the employers are putting in gyms and walking paths and healthy foods,

also, some employers are putting in clinics at work so that the employees

do not have to leave the work to go see a physician or a nurse practitioner.

Also, they are using technology, for example,

tele-medicine to bring in the care at work to make it more convenient,

and also to improve productivity.

Finally, the employers also use sticks and

carrots in their benefit plans and in their insurance plans by

slowly moving the cost over to the employees in order to make the employees

more accountable and more engaged in the overall healthcare costs,

which as you know, is rising for all of the employers across the US.

The fourth thing they do which is very important is that they influence

care delivery.

So, sometimes, they work directly with the healthcare delivery system,

maybe partner by bringing their expertise from industry to bear.

But the other key driver is they work through their third party administrator or

the insurance company to bring in sticks and carrots, so that the delivery system

really produces an efficient product and reduces the overall cost of care.

Employers are also having a lot of new changes, either through legislation or

other rules.

There are new penalties now for not providing insurance coverage for

their employees.

Also, we've discussed that the rising cost of healthcare is making it

very difficult for some employers to sustain.

So, they have a vested interest in bringing this cost down.

Also, when some large employers compete a on a global scale,

the very high cost of insurance for the U.S.

workers compared to other workers across the world is a challenge.

And then, finally, they are a very critical stakeholder and a partner at

the healthcare transformation table, and they can bring their heft to bear with

insurance companies to really influence change in the healthcare delivery system.

In summary, employers are significant influencer for healthcare delivery,

they work either indirectly by working through payers or sometimes, they're

directly working by engaging with the healthcare delivery providers in order to

achieve the triple aim for their employees and also for the broader community.

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