The Single-Payer Dilemma Research Collected through the Research Cloud

Transcription

1 The Single-Payer Dilemma Research Collected through the Research Cloud

2 Executive Summary Is there anything more polarizing in healthcare today than how we cover medical expenses? More specifically, should the U.S. move to a national single-payer model, unshackle the free market and let it run the show, or continue the attempts at finding compromise in the middle? If there is a more divisive topic, we haven t found it yet. Both camps are as deeply entrenched, with advocates pressing the issue in California In this study, we reached out to providers, payers, and employers (HR and benefits leaders) to find out their perspective on the matter and received direct feedback from almost 200 respondents. Some of the finding are expected but other data points form extremely uncommon patterns in research. We gathered data on the following: Support (or lack thereof) for a national single-payer system Free response reasons in support of or against a single-payer system Most preferred healthcare coverage models Most preferred healthcare delivery models Additional free responses on the topic Breakouts by providers, payers and employers Whether you are part of the promoter or detractor camps for a single-payer system, you will find interesting perspective on a topic that will not be untangled anytime soon. Note: A massive thank you to our participants in this research. Without your support and perspective we could not inform your peers, colleagues and other stakeholders about important trends and insights that can help move healthcare forward. Questions about this study or our research platform? Contact Jeremy Bikman at jeremy.bikman@reactiondata.com.

3 Demographics 13% Payers 24% Employers 198 participants 63% Providers ( by title ) CEO Chief Medical Officer Benefits Manager CFO 30% 16% 15% 15% CNO COO Benefits Director President Vice President 8% 5% 5% 3% 3%

4 To what degree do you support adoption of a national single-payer system? ( providers ) 35% 34% 25% 20% 15% 15% 12% 13% 7% 8% 6% 5% 6% 0% Strongly Disagree Strongly Agree Clinician Non-Clinician When was the last time you saw an inverted bell curve, let alone one this extreme? Ok, maybe you aren t a data geek like us, but these kinds of graphs don t present themselves very often. We ve broken out this data from providers by clinicians and non-clinicians, but as a whole, we see two peaks on the Strongly Disagree and Strongly Agree ends of the scale Camps A and B. As we expected, clinicians are much more favorable of a single-payer system compared to non-clinician leadership.

5 To what degree do you support adoption of a national single-payer system? continued ( employers ) ( payers ) 44% 46% Strongly Disagree Strongly Disagree 20% Strongly Agree 31% Strongly Agree For our employer data, we reached out to HR and benefits leaders. They strongly disagree with a single-payer system by a significant margin. Perhaps self preservation is at play, as many benefits positions would become unecessary where health insurance is no longer offered by the employer...but this is just a guess. A deeper dive would be required to find the answer. Leaders of payers and health plans were a little more favorable (off the record) toward a single-payer system. We appreciate the honesty in light of what would be an insurmountable competitive force (government takeover) to the organizations they represent.

6 Reasons for or against a single-payer system In favor of a single-payer system The non-value adding loading of utilization management has made our nation s health delivery system the most expensive in the world -CEO Eliminates the middle man that cost the system -CMO Healthcare is a basic right, and our federal government is already the primary payer for most health systems. Our elected leaders are ill equipped to design an effective market driven system, as proven by the recent efforts to repeal / replace the ACA. -CNO Against a single-payer system Single payer means the destruction of competition which will result in declining quality, availability and rising costs. -CFO It guarantees inefficiency, ineffectiveness, loss of personal choice and inhibition of innovation at every level. -COO No Competition!!! -President Congress is not capable of putting together a logical piece of legislation which will address the many facets of such a complicated topic. -CNO

7 Top 3 healthcare Most efficient/sustainable coverage options Universal healthcare Mechanism that guarantees coverage but may preserve private and public options providers employers payers Federally operated single-payer system providing coverage to all citizens providers employers payers Mix of private and government provided healthcare with no coverage requirements providers employers payers This data was obtained from a ranking (weighted) question. The highest score possible was a 5.00 and the lowest a A universal healthcare model is hands-down the most favorable option among all groups. HR and benefits leaders (employers) are the most open to a few different options. Providers have a clear favorite universal healthcare.

8 What healthcare delivery models do you feel would be most effective for the public? Mix of private and state run provider organizations Mix of private and federally operated provider organizations Privately owned provider organizations 3.23 Federally operated provider organizations 2.53 State operated provider organizations 2.36 This data was gathered through another weighted, rank question with 5.00 being the highest score and 1.00 being the lowest. Our country s current healthcare delivery model has the highest favorability by a narrow margin. Regardless of the exact preference, providers overwhelmingly want the private sector heavily involved in healthcare delivery.

9 Additional thoughts ( providers ) Housing for everyone, food for everyone, spending money for everyone. Not exactly the Thomas Jefferson model built into the constitution. Basic coverage for everyone, but just as airlines have first class and so, you will always have classes. Not everyone can have everything. The care of every man s soul belongs to himself, what if he neglects the care of it...or his health T. Jefferson. -CEO We are the only developed nation on the planet to fail to recognize access to healthcare as a right. Is that what we want as our legacy? -CEO I believe it will take a radical restructuring of health care delivery. Medicine is a business-for-profit at present and too many people are making too much money for this model to continue. People will not willingly give up their ability to earn large rewards. -Vice President of Medical Affairs ( payers ) Employers are put in a very bad situation when they d like to offer richer, more affordable coverage however they must balance this to what the organization can afford to deliver. -HR Director My role in HR has no impact. My role as an American citizen who believes in limited, constitutional government is all that is necessary to understand the government at the federal level was never supposed to have any role in providing healthcare for our citizens. -HR Manager Working within a payroll company offering benefits, I could see this greatly impacting my position - where the broker-world would be almost completely dissolved and shifting focuses into an administrative role, which is where the industry is already heading. -Benefits Manager

10 Additional thoughts continued ( employer benefits and HR leaders ) Government intervention is the cancer. Treatment should be a true free market of direct primary care and individuals buying individual health insurance policies to insure their health risks. Prohibiting pre-x exclusions ensures losses and the eventual collapse of the current system providing the excuse to fully implement a single-payer. Doctors and charities woulds still treat the sick & poor. -Benefits Manager As a professional who works with global health care plans, I understand that medical costs are rising worldwide and no system has really figured out how to control costs except through plan design limitations. The difference between health systems in the most countries and America, is guaranteed access to a reasonable amount of solid medical care for everyone at a reasonable price. -HR Manager Less government is better in most cases. Healthcare is definitely in this category. Government should be solving for education and employment. That is the best path to solving the healthcare challenge. -Vice President of HR If the government wishes to cover those without access to affordable coverage, let them design a program to cover everyone making below a certain percentage of FPL. They were not properly funding the risk corridor and have obviously underestimated the cost associated with treating the sickest 50% of the population. -Benefits Manager

11 I A single solution for rapid market and customer intelligence. Stay current with our industry briefs and competitive intel Our data warehouse eliminates your need to manually store results For more specific business questions, deploy the only true B2B survey tool Track your data with bi-directional Salesforce integration Drill down to specific audiences within our network of 600,000+ healthcare leaders Discover insights through an advanced visualization dashboard questions? Contact Jeremy Bikman at jeremy.bikman@reactiondata.com