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Consumer Driven Care 101 and Beyond
Consumer Driven Primer
Audioconference 

This session is 45 minutes in length including time allowed for questions and answers. Attendees can also e-mail inquiries to the faculty any time during the summit. Companion materials are available in the CD-ROM provided or via the web version of the Training Kit. Attendees can select from two available times: 

• Tuesday December 9th at 1:15 PM PST (4:15 PM EST); or 
• Thursday December 11th at 10:00 AM PST (1:00 PM EST). 

Faculty Presentation: Clive Riddle, MCOL President

Mr. Riddle is President of MCOL, the eight-year-old company focused on helping professionals position themselves for a new kind of health care in the 21st Century. Mr. Riddle has become a prominent national thought leader and speaker on emerging managed care and health plan trends, and authored the Consumer Driven Care Training Kit. A 23 year veteran of the healthcare and managed care industry, Riddle has held a variety of high-level leadership positions including 12 years as CEO of a regional managed care organization in California. There he was responsible for developing and overseeing HMO, PPO, insurance, clinic and pharmacy operations, where they developed into a $100 million-a-year business.

The session will address and elaborate on the major points covered in the Consumer Driven Primer, and allow for a question and answer period following the presentation. Please note registrants will incur their own long distance phone charges for each audioconference.

Session Outline

A)      Overview

I.        Terminology

II.       Why a movement towards Consumer-Centric Health Care?

III.     What are the broad goals of Consumer-Centric Health Care?

B)      Trends

I.        Factors Driving Consumer-Centric Health Care

II.       e-Health

III.     Change in Health Plan Economic Behavior

IV.    Emergence of a new economic model: the Benefits Cycle

V.     Direct-to-Consumer Advertising

C) Models

I.        Empowered Decision Making

II.       Health Plan Cost Sharing

III.     Defined Contribution Health Plans

IV.    Customized Health Plans

V.     Consumer Driven Health Plans

D)      Components

I.        Price Transparency

II.       Claims Payment

III.     Managed Care

IV.    Value Added Programs

E)  Navigation
I)        Health Navigation

II)       Health Care Decision Support

III)     Internet and Telephonic Care

IV)    Health Care Transactions

F)      Plan Design

I)        Defined Contribution Health Plans

II)       Customized Health Plans

III)     Consumer Driven Health Plans

G)     Issues

I.      Vouchers

II.       Adverse Selection

III.     Deferral of Care

IV.    Claims Transparency

V.     Ability to Pay Increased Cost Sharing

VI.    Reduction of Managed Care

VII.  Impact of Hospital Claims

VIII. Complexity and Confusion

IX.     Regulatory Environment

X.      Collective Bargaining

XI.     Factors for Success

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This event sponsored by MCOL and Health Care Conference Administrators, and co-sponsored by the Consumer Driven Healthcare Association, Atlantic Information Services, and National Health Information