HomeMy WebLinkAboutVailHealth.VEACMeeting.March2020.v3Vail Health & Our Community
Vail Economic Advisory Council Update
March 10, 2020
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AGENDA
•Cost comparison
•Orthopaedics
•Destination medicine benefits
•Keeping dollars local
•Meaningful action
2
COST COMPARISON
Vail Health’s commercial insurance
rates are significantly less than I-70
mountain peers.
3
MEDICARE REFERENCE PRICING
4
Vail Health prices are
below the midpoint
for the state.
I-70 COST COMPARISON
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0%
100%
200%
300%
400%
500%
600%
Vail Health Valley View
(Glenwood)
St. Anthony Summit
(Frisco)
237%
399%
503%
Inpatient & Outpatient Hospital Costs in Relation to Medicare
Percentage of Medicare from 2015-2017*
*Source: CIVHC APCD Data, Note –Depending on the analysis and source of data, these numbers will
change (likely upwards).
ORTHOPAEDICS
Vail Health’s margins are high because it
does ~10X more annual orthopaedic
surgeries than its mountain peers.
6
9,000
8,000
7,000
6,000
5,000
4,000
3,000
2,000
1,000
-
Annual Orthopaedic Surgery Volume
ORTHOPAEDIC SURGERY VOLUME
DESTINATION MEDICINE BENEFITS
A large percentage of Vail Health patients are
not from the Eagle River Valley.
–Economic engine that diversifies local
economy beyond seasonal tourism
–Locals receive the same top care as
professional athletes
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KEEPING DOLLARS LOCAL
Even though visitors account for a large percentage of
Vail Health’s margins, Vail Health reinvests these
margins locally.
–Eagle Valley Behavioral Health
–Eagle County Schools
–Mountain Family Health (FQHC) & MIRA bus
–Expanded Vail hospital facility, Cath Lab, etc.
–Meaningfully action to address costs & utilization
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•VVP Mountain Healthcare Coalition
•Investing $60M in underfunded Behavioral Health
•Direct contracts with larger, self-insured employers
•Working with insurance companies to lower rates
o Small group (April 2020)
o Individual insurance market exchange (2021)
•Increasing Financial Assistance to 500% of FPL
•75% off urgent care for the uninsured
•Cutting prices (MRI now $895-$995)
•Appropriate utilization
o Improved population health management through Colorado Mountain Medical merger
o Co-response crisis model (Hope Center)
o ET3 rollout (Emergency Triage/Treat/Transport)
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MEANINGFUL ACTION
1.Vail Health’s commercial insurance rates are significantly less than I-70 mountain peers.
2.Vail Health’s margins are high because it does ~10X more annual orthopaedic surgeries than its mountain peers.
3.A large percentage of the patients receiving orthopaedic care at Vail Health are not from the Eagle River Valley.
–Economic engine that diversifies local economy beyond seasonal tourism
–Locals receive the same top care as professional athletes
4.Even though visitors account for a large percentage of Vail Health’s margins, Vail Health reinvests these margins locally.
–Eagle Valley Behavioral Health
–Eagle County Schools
–Mountain Family Health (FQHC) & MIRA bus
–Expanded Vail hospital facility, Cath Lab, etc.
–Meaningfully action to address health care costs & utilization
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VAIL HEALTH’S UNIQUE MODEL
Q&A
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