1. PROTECTING PATIENTS BY
EXPOSING THE
TRUTH
& EMPOWERING CHOICE
PROTECTING PATIENTS BY

2. SINCE 2007 SOURCE OF INDEPENDENT WE’VE BEEN AN TRANSPARENCY
The top two logos are very difficult to see when projected. Any suggestions?

3. A sports loving kid needs an outpatient foot surgery…

4. Outpatient Procedures
QUALITY VARIANCE
COST VARIANCE
Transplants
Office Visits
Outpatient Procedures
Imaging / Labs
Inpatient Procedures
SOMETIMES
YOU ARE A CONSUMER
YOU ARE A PATIENT
When we project this slide, the “cost variance” line is really difficult to see

5. he’s in need of a colonoscopy…
A man learns
he’s in need of a colonoscopy…
The story can make a lot more points than an mri
Facility not doctor
Commodity- not quality
Services change- g/y/r is better than penny pricing

6. Cost Variance – Denver
Why is it important to have transparency inside an exchange?
Exchanges accelerate the shift to consumerism. According to a study by John Consumerdriven, 1 out of 2 consumers are choosng an HSA qualified plan when selecting coverage on an exchange. As a result of this acceleration, employees must be empowered with the right tools to be good consumers.
Transparency is viewed as a priority & “the right thing to do” by employers moving to exchanges. According to an NBGH study, 71% of employers identified price transparency tools as one of their most important offerings- 2nd only to decision support tools.
Carrier tools can’t provide true transparency & consumers know it. According to Health Affairs Blog, only 2% of consumers use their health plan transparency tools. Healthcare Bluebook gets a much higher adoption rate than that.

7. PRICE VARIABILITY FOR COLONOSCOPY (NO BIOPSY)
It’s not the physician, it’s the facility…
PRICE VARIABILITY FOR COLONOSCOPY (NO BIOPSY)
UNIQUE CASES
$ $ $ $ $ $ $ $4000
TOTAL COST
PHYSICIAN
FACILITY

8. A woman learns
she needs a knee replacement…

9. Hospitals may do everything, but they are not great at everything…
CARDIAC SURGERY
57th percentile
ORTHOPEDIC
94th percentile
CANCER CARE
12th percentile

10. Joint Replacement – Denver
Why is it important to have transparency inside an exchange?
Exchanges accelerate the shift to consumerism. According to a study by John Consumerdriven, 1 out of 2 consumers are choosng an HSA qualified plan when selecting coverage on an exchange. As a result of this acceleration, employees must be empowered with the right tools to be good consumers.
Transparency is viewed as a priority & “the right thing to do” by employers moving to exchanges. According to an NBGH study, 71% of employers identified price transparency tools as one of their most important offerings- 2nd only to decision support tools.
Carrier tools can’t provide true transparency & consumers know it. According to Health Affairs Blog, only 2% of consumers use their health plan transparency tools. Healthcare Bluebook gets a much higher adoption rate than that.

11. Cardiac Surgery (Major) – Denver
Why is it important to have transparency inside an exchange?
Exchanges accelerate the shift to consumerism. According to a study by John Consumerdriven, 1 out of 2 consumers are choosng an HSA qualified plan when selecting coverage on an exchange. As a result of this acceleration, employees must be empowered with the right tools to be good consumers.
Transparency is viewed as a priority & “the right thing to do” by employers moving to exchanges. According to an NBGH study, 71% of employers identified price transparency tools as one of their most important offerings- 2nd only to decision support tools.
Carrier tools can’t provide true transparency & consumers know it. According to Health Affairs Blog, only 2% of consumers use their health plan transparency tools. Healthcare Bluebook gets a much higher adoption rate than that.

12. THEY
YOU +
SAVE
SAVE
MONEY
LIVES

13. Transparency Commit to a culture of consumerism
Understand your current carrier-based solution
Rewards
Reporting
Communicate with plan members
Evaluate third-party transparency solutions
Consider unintended consequences when reviewing narrow networks
Transparency

14. PROTECTING PATIENTS BY
EXPOSING THE
TRUTH
& EMPOWERING CHOICE
PROTECTING PATIENTS BY

15. EASY MEMBER EXPERIENCE THE
Before we hop into a demo I wanted to note that Healthcare Bluebook offers a three-tiered approach: Online, Mobile, and phone support.
(NOTE: You need to open the browser and set up the demo ahead of time)
Ok, let’s go to the demo.
ACTION: Switch over to the demo
ACTION: When demo is complete – return to this slide
Please note that the intuitive green/yellow/red color coding works even better on smaller screens.
NOTE: Click on the blue background to advance to the next slide.

16. Savings Total Cost ROI Total: $127,551 Setup Fees $ 6,000 PEPM Fees
$ 6,000
PEPM Fees
$ 39,600
Total Program Cost
$ 45,600
Outcomes Category
Savings
Bone Density Scan
$2,916
Cataract Surgery
$10,942
Colonoscopy (no biopsy)
$1,773
CT (no contrast)
$1,887
CT (with and without contrast)
$3,930
CT (with contrast)
$11,017
Digital Diagnostic Mammography (bilateral)
$417
Digital Diagnostic Mammography (unilateral)
$301
Digital Screening Mammography (bilateral)
$4,433
Knee Arthroscopy
$6,898
MRI (no contrast)
$6,422
MRI (with and without contrast)
$10,323
Ultrasound
$44,601
X- Ray
$21,692
ROI
Program Cost
$ 45,600
Total Savings
$ 127,551
ROI (Savings) / (Cost)
2.8 : 1
Total: $127,551

17. More savings are available to capture
Outcomes Category
Savings
Savings Opportunity
Bone Density Scan
$2,916
$10,137
Cataract Surgery
$10,942
$13,808
Colonoscopy (no biopsy)
$1,773
$42,020
CT (no contrast)
$1,887
$4,316
CT (with and without contrast)
$3,930
$248
CT (with contrast)
$11,017
$3,805
Digital Diagnostic Mammography (bilateral)
$417
$864
Digital Diagnostic Mammography (unilateral)
$301
$682
Digital Screening Mammography (bilateral)
$4,433
$10,784
Knee Arthroscopy
$6,898
$10,132
MRI (no contrast)
$6,422
$18,298
MRI (with and without contrast)
$10,323
$3,062
Ultrasound
$44,601
$76,049
X-Ray
$21,692
$80,095
Other
$839,329
Total
$ 127,551
$1,113,629
Client has captured roughly 11% of the available savings for these procedures.
$1.1M in additional savings can be achieved through further consumerism.

18. Ultrasound Year 1 Base Year Total Savings: $44,601
Average Case Cost: $304
Base Year
Average Case Cost: $388
Total Savings: $44,601

19. Ultrasound $44,601 Change in Average Price per Case Case Movement
Total Savings
$44,601
$83