As you saw in our numbers, we didnt actually see an increase in volume over the time and then in there three procedures, i think weve seen a little bit of increase in colin os ko pi, but that isnt necessarily a bad thing. For a screening like that, its probably a good thing. Yes, maam. My name is lisa summers. Im with Century Health care institute. My question is given cprs work on Maternity Care payment reform. Certainly, o b care is not entirely elective once youre pregnant, you have to deliver, but women certainly have months to shop for prenatal care and Delivery Services and we know theres huge variation in cost and quality and its a very High Frequency in occurrence. 4 million births per year. And if you have thoughts about whether or not the lessons weve learned from the global payment in Maternity Care informs this discussion at all. We work with some very progressive employers. They sort of selfselect to be that way. I dont know that Maternity Care will be Maternity Care servi
In the Company Health care plan we have about 85,000 eligible associates. The rest of our associates are represented under collective bargaining agreements and their benefit plans are provided through other funds. So where we innovate and where we try new things really within the company plan, and thats where the target Pricing Initiative is today. So thats where ill focus our discussion for this afternoon. Mainly, we operated Grocery Retail centers throughout the country, but we also have distribution centers, fuel centers, manufacturing centers, fine jewelry stores. Usually get a few eyebrows that raise a message or restores but we are one of the larger jewelry chains in the country as well. To talk a little bit about what our objectives are with on health care plan, we really focus on trying to keep it simple for 350,000 people to try to understand what we are trying to accomplish with the Health Care Benefits that we provide to them. We really focus on objective. The first one is t
Imagine from the title of its organization and this includes more than 3000 Public Schools and agencies and state employers covering more than a million and a half and david is here to tell us about the calpers reference pricing and its impact on health care and the cost as andrea has said that he might been promised that he might. We thank you for coming. Thank you, ed. Okay. Im going to talk about this program for hip replacement and it provides Health Benefits for 1. 1 million members statewide and that includes active and retired state employees including school districts. About a third of those end up in the preferred provider organizations with Anthem Blue Cross of california and we spent about 7. 75 billion and the impetus for referencebased pricing was also a variety of studies in this includes for Knee Replacements and we looked at cost drivers and it turned out that the osteoarthritis is one of the drivers in about a third of those costs come from hip or Knee Replacements. In
Sometimes a thousand dollars a month. I mean, you know, its a wide range. Some people will get subsidies and support and pay less. But theres this group in the middle who make just enough, they get no subsidy, and the price of their premiums for their plans is going up dramatically. But moreover, and this is just what after 36 meetings in my own district their deductibles, their deductibles, they fear, are at a level where unless you have a Catastrophic Health event in your family, you really dont have Health Insurance because youre paying upwards of 12, 15,000 where it was 2 or 3,000. And so they may go without, because you have a guarantee issue. So you can always go to the emergency room, right . The penalties are not more than the premiums. I think this is the chaos im talking about out there on the ground in communities all across america. A quick follow up . Sure, of course. Has there been time to actually figure out as this legislation has been going on which is the worst case .
We must ask how good is the model. There is a story about a man from minneapolis who walked into a store, target, and asked to see the manager. His daughter was being bombarded with pregnancy related coupons from target. They asked are you trying to encourage her to get pregnant, he asked . The store manager apologized profusely. He called the father several days later to apologize again. Only this time come the man was less irate. This has turned be apologetic. He said it turns out there has been sacked activities in my house i havent been completely aware of. Father said she is due in august. Statistician had figured out that his daughter was pregnant for heeded. This is not even the creepiest part. [laughter] that is their business, it is also not their business. I can feel more than a little interested. Some companies mask a much they know. For example, if you are a pregnant woman in your second trimester, you may get coupons in the mail for cribs and diapers. Along with a coupon f