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CEO's Guide to Restoring the American Dream, by Dave Chase
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Review
Dave Chase has an industry-unique ability to identify the challenges facing our health care system in a manner that the ever-expanding and frustrated masses can quickly understand. What truly distinguishes Dave s effort is not the failures he identifies, but the thought-provoking and tested solutions he presents coupled with his willingness to challenge payers, providers and consumers alike to demand a more-rewarding health care system. --Tommy Thompson - Former Governor of Wisconsin and HHS SecretaryThe book is packed with wisdom you can t find elsewhere but also a nice, light style that makes it addictive. There is so much in this book that is hidden behind the many layers of obfuscation characterizing our healthcare system. As a group trying to create and then disseminate new models of care that improve outcomes and lower costs, we are continuously running into hidden barriers with insurers and also un-empowered healthcare purchasers. This book has the practical prescription for moving it all forward. I'm making it required reading at Dell Med and recommending it for our many partners. --S. Claiborne "Clay" Johnston - Dean, Dell Medical School at The University of Texas at Austin.More and more C-suite executives see health benefits a major liability, not an asset. The CEO s Guide to Restoring the American Dream is a life saving guide to provide employees needed healthcare in way a your CFO and CEO will applaud. --Tom Emerick - Former head of benefits at Walmart, BP, & Burger King
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About the Author
Dave Chase conceived of the Health Rosetta after being the CEO/Co-founder of Avado, a digital health company acquired by & integrated into WebMD & Medscape (the most widely used healthcare professional site). The Health Rosetta is the blueprint for purchasing healthcare wisely, sourced from real life experience implementing practical, non-partisan solutions. His work applies the Health Rosetta in two areas. First, Chase is a cofounder of the Health Rosetta Institute (HRI), which creates LEED-like certifications for purchasing healthcare. HRI's primary current focus is the U.S. employer healthcare market, but the Health Rosetta isn't inherently employer or U.S. specific. Second, Chase is a cofounder of the Health Rosetta Group, a holding company and investment group that drives healthcare's transformation. It uses innovative approaches to build and fund the next generation of healthcare tech and services companies. Chase's TEDx talk, Healthcare Stole the American Dream - Here s How We Take it Back sums up healthcare's devastation on the middle class and the redemption coming via a grassroots movement. It can be viewed at healthrosetta.org/tedx. Chase was named one of the most influential people in Digital Health because of his entrepreneurial success, speaking, and writing. He delights in sharing how high-performing organizations have solved healthcare's toughest challenges. Chase co-authored the healthcare Book of the Year in in 2014 awarded by HIMSS entitled Engage! Transforming Healthcare Through Digital Patient Engagement. Before Avado, Chase spent several years outside of healthcare in startups as a founder or in consulting roles with LiveRez.com, MarketLeader, and WhatCounts. He was also on the founding & leadership teams in two $1B+ businesses within Microsoft including their $2 billion healthcare platform business. Chase is a father of two great kids/athletes, husband, and oxygen-fueled mountain athlete. His team placed 3rd in their division and 24th overall (of 500 teams) in the oldest adventure race in the U.S. where Dave tackled the Nordic ski leg. Dave is also a former PAC-12 800 Meter competitor.
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Product details
Paperback: 306 pages
Publisher: Health Rosetta Publications; 1 edition (September 4, 2017)
Language: English
ISBN-10: 0999234315
ISBN-13: 978-0999234310
Product Dimensions:
6 x 0.7 x 9 inches
Shipping Weight: 1.1 pounds (View shipping rates and policies)
Average Customer Review:
4.9 out of 5 stars
109 customer reviews
Amazon Best Sellers Rank:
#55,674 in Books (See Top 100 in Books)
Dave Chase is one of those quiet innovators who moves mountains through vision, energy, and sheer persistence. With a healthy dose of trickster energy in the mix…Chase is one of the founders of Healthcare Rosetta, a non-profit dedicated to accelerating “adoption of simple, practical, non-partisan fixes to our healthcare system.â€He was also CEO/Co-founder of Avado, a digital health company that was acquired by WebMD & Medscape.Given the messed-up state of healthcare at the moment, Chase makes a startling claim: “Healthcare is already fixed.†In other words, we know what works, and how to implement those fixes. On a small scale, everything that's needed is already in place somewhere. It's our job to publicize and scale those fixes until they change the entire system.So if it's so easy, what's standing in our way? As Chase writes in his masterful and infuriating book, The CEO's Guide to Restoring the American Dream, only three trillion things. As in, the amount of money spent on healthcare in the US every year.Much of that money, Chase argues, is misspent on ineffective and/or unnecessarily expensive treatments. The book is a handbook for CEOs who are desperately trying to reduce their organizations' healthcare costs, but it also reads like a crime thriller.On page after page, I found myself shocked at the perverse incentives that reinforce a crooked system. One that costs lives, promotes suffering, and is literally stealing the American dream of middle class prosperity from an entire generation.The good news: every structural fix has already been invented and proven and replicated. It's all laid out in this important book.
This is my husband’s review, not mine. He lost his Kindle a few months ago and refuses to replace it because “it’ll turn up.†Yeah, right, along with his Motorola flip phone, Walkman, and Nolan Ryan rookie card (“It’s around here somewhere. You can’t miss it because it has Jerry Koosman on it too.â€)He says this is easily the most practical and timely book on controlling healthcare costs that he has read, and is full of helpful advice that can be implemented right away. It should be on every HR bookshelf and many pages should be dog-eared for future reference. Some of the schemes detailed in this book are outrageous – from wellness vendors snookering employers and screening the stuffing out of employees to PBMs setting new records for opacity in contracting and under-the-table fees from manufacturers to providers charging outrageous fees by (for example) staffing in-network facilities with out-of-network doctors. The carriers make more money, the more of this stuff takes place.The good news is, these are all self-inflicted wounds. This is particularly true of wellness, a single-car accident that can easily be scaled way back, to generate immediate savings far exceeding the vendor fees themselves, because the vendors won’t be sending employees to the doctor all the time with “conditions†they that “identified.†And as self-inflicted wounds, it should be possible using the advice in this book to stop doing them and instead save a ton of money on the health benefit.PS He says this is a more helpful book than his own books -- Why Nobody Believes the Numbers, Cracking Health Costs, and Surviving Workplace Wellness -- though his are way funnier. That's because the wellness industry, if nothing else, is an endless source of comedic material.
I recall hearing the anecdote that every car that comes off the assembly line at a General Motors plant is at a $1,500 USD cost disadvantage to a car from a non-US manufacturer on just the cost of health benefits for GM’s employees alone. The reality is, every US business is now a healthcare business. That is where Dave Chase’s book targeted at American business CEOs starts. It follows, then, that the leaders of these organizations need to tool up on the business of managing the health of their workforces if they are to remain cost competitive in the 21st century global economy. They can no longer operate with no visibility into ROI of health benefits spending, nor drivers of unchecked inflation. What Dave Chase has done in this long overdue book is provide a clear and extremely compelling wake up call for CEOs and CFOs to put much needed scrutiny on how, where and why they are spending significant operating budgets on healthcare for their employees … and concrete steps for how to strip out up to 30% of low-or-zero value expenditures out of this major line item.I took away two main themes from this book:1. A staggering business case for actionIn parts I and II, Chase lays out a compelling set of well-researched facts showing how, for decades, US corporations have accepted their employee healthcare spending to be a “Black Box†that they have no visibility into, nor ability to control its inflation year over year. In an era where corporations are ruthless about being cost competitive, turning over every stone of efficiency they can find, it is almost impossible to imagine that there has continued to be this one large line item that has largely been untouched. Some eye-opening statistics that Chase lays out include:• The scope of the opportunity is 150M American lives that are covered by fully insured or self-insured health plans;• At approximately $10K / employee / year, healthcare spending is often the 2nd largest expenditure of companies, after payroll expenses;• It is fully known that at least 10% (closer to 20%) of this spending is fraudulent; and a further 20%+ of this spending is either wasteful, duplicative, unnecessary or even harmful.Some back of the envelope math that one could do from these facts:175M Americans X$10K/year average spending on health benefitsX10% - 30% unnecessary spending=$175B-$525B of GDP… is on the table to be recaptured by US corporations and either reinvested into their businesses, and/or redistributed to their shareholders. It is no wonder that Chase provokes: "Imagine if a foreign country was causing this kind of collateral damage to our economy. We'd go to war in a second "- Chapter 1: “America Has Gone to War For Much Lessâ€2. Actionable levers and tools for the C-suite to do something about it – todayIn parts III and IV, Chase puts together a straight forward blueprint for action. The actions are squarely targeted at CEOs, CFOs and COOs. He points them to 5 high impact lever points to focus on:I. Primary care;II. Transparency on pricing;III. Employee concierge services;IV. Independent third-party administration of health plans; andV. Heightened fiduciary oversight on health insurance spending.Each of these action areas taken alone or in combinations could address the many gaps in the design of today’s health insurance schemes, unlocking significant pools of value. For each big area of opportunity, Chase draws upon rich case studies as well as a suite of tools codified by his Institute to provide tangible and accessible tools, templates, checklists and sample playbooks for employers to get started now.It is clear from the opening sentences of the book, that Dave Chase has had a decades-long fixation with shaking up corporate America about this massive elephant in the room that no one is really addressing. And rightly so. In an era where companies’ ability to stay relevant and compete amidst myriad threats coming from all directions (disruptive startups, future of work, decline of US hegemony), it is sinful that such a low hanging fruit for cost-containment is right under executives’ noses and has been largely ignored.Chase has pulled together all the insights, all the facts, all the real-world case examples that he has collected and observed over his career in the health industry into a one stop shop distillation that only Dave could pull off.Unlike many other writers of healthcare “WTF?†books (and there are many), what Chase accomplishes with this book is refreshingly different – and impactful - in 3 distinct ways:1. He speaks directly to the CEO, CFO and COO – on terms (and with language) they will understand. [My only remiss is that he did not also directly address boards who have fiduciary oversight duties for the corporation]2. He does not shy away from the complexity of employee-sponsored healthcare; rather he unpacks it and frames it in a way that a business leader can engage with3. He brings real, concrete, actionable, straightforward and proven tools to bear.The writing style is also effective in achieving the objectives of this book. Chase powerfully weaves together a well-constructed and logical story with powerful elements such as relevant sidebar vignettes, data charts with eye-popping stats, quotes from industry insiders, and deep dives into leading businesses through well-written 1-page case studies developed by experts in the field with lived experience. Supplementing this is a dedicated website of the Health Rosetta Institute that provides off the shelf tools and templates for executives to act now. I also like that the tools on the Health Rosetta Institute site are dynamic – they are being constructed in an open source way as this movement takes hold, grows in momentum, and learnings are captured and codified.If I had to make one criticism of the book it is that it is more focused than I would like it to be on guiding CEOs through the healthcare industry as designed TODAY. There is a growing consensus that the future of health(care) is going to look almost nothing like it does today. Ie, less dominance of hospitals, less reliance on the physician as the gatekeeper, consumers in control of the majority of their health decisions, data and purchases, unbundling of the business models of the traditional players (including insurers). Many of these changes are on exponential curves given the enabling technologies are software-based (and therefore can scale exponentially), and given consumer pull is driving demand. Yet, the blueprint in Chase’s book largely assumes that health services will continue to be designed and delivered the way they are today. I get why – there is so much that can already be done right now without remodeling the health system through innovation.In all, Chase’s book reminds me of what Peter Senge’s The Necessary Revolution did for the climate disruption movement. As an MBA professor in health strategy, and advisor to innovators in the health industry, this book will be added to my top 5 “must read†health industry books that I would prescribe to anyone who is trying to help fix this broken industry. Chase joins my top 5 authors in putting his life’s work into a book and platform that will start a movement and changes mindsets in a way that (finally) allows a leap in new value to be unlocked. [ The others being – Innovator’s Prescription (Christensen), Redefining Healthcare (Porter), Creative Destruction of Medicine (Topol) and The Patient Will See you Now (Topol).]Although this book is written for corporate America CEOs, I highly recommend it to any one who works (or intends to work) in the health care value net. Especially emerging tech startups who all see the massive inefficiencies and ineffectiveness of this industry, and are trying to bring solutions to bear … but have a really limited understanding of the underbelly of the health industry in America. Dave explains the intricacies in a way that anyone can understand, and should be able to translate that understanding into better products, services and ways of working in this industry.Thank-you Dave for your courage in confronting the people, mindsets and borderline unethical business practices that are holding back the US health industry from delivering on its mission of health, and holding back so many from realizing the American dream.
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