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The CEO's guide takes what is an incredibly complex and challenging topic and provides an easy blueprint to follow. This is a must-read for anyone involved in the purchase or delivery of healthcare to employees and their dependents. If you believe like I do that our dysfunctional and expensive system is failing our employees and want solutions, then look no further than Dave's simple and practical solutions outlined in the CEO's Guide.

Brian Uhlig Senior Partner Alera Group

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What Relocalizing Health provides.

A practical, step-by-step intro to restore the American Dreambuilt on the real-life examples and successes of leading communities whether those communities are an employer, union or place-based.
  • Local
  • Open
  • Independent
  • Post-Political
  • The Original Sin
  • ‘Buy Local’ Programs Will Reinvigorate Communities
  • Key Takeaways and Things to Think About
  • Health Care’s Hyperinflation Is Breaking U.S. Schools
  • A Local Case Study
  • Teacher Unions
  • Must Step Around to the Other Side of the Table
  • Key Takeaways and Things to Think About
  • Additional Background and Resources
  • The Post-Copernican View
  • Taxation Without Representation
  • Closing a Hospital Opens Other Doors
  • Rethinking Economic Development
  • Key Takeaways and Things to Think About
  • Becky and Her Biggest Expense
  • Millennials to the Rescue
  • Health Care Priorities: Cost and Convenience
  • New Benefits Choices for Smart Communities
  • Key Takeaways and Things to Think About
  • A Weight Around Employers’ Necks
  • It’s Not Just Opioids
  • The Path Forward
  • Key Takeaways and Things to Think About
  • The Annual Benefits Kabuki Dance
  • Health Care Costs Are Flat Despite What You Have
  • ClearHealthCosts Research
  • What’s Happening Behind the Scenes
  • Criminal Fraud Is Much Bigger Than You Think
  • Health Insurance Carriers Are Acting Rationally
  • The Data Problem
  • Connecting the Data Points
  • Fraud and Abuse Enable the Opioid Crisis
  • A Breach of Fiduciary Responsibility
  • Key Takeaways and Things to Think About
  • Use Your Bully Pulpit
  • Stop Fraud
  • Address Substance Abuse
  • Rebuild Primary Care in Your Community
  • Making Health Local Again
  • Health 3.0 Vision and Implications For Providers & Government
  • Health 3.0 Builds on Assets, Corrects Failings of Health 1.0 and 2.0
  • A Pyramid of Health
  • Implications for Providers and Government
  • Health Care Provider Organizations
  • Government Entities
  • Key Takeaways and Things to Think About
  • Here’s How to Make It Thrive
  • A Shift in Mindset
  • Two Stories
  • What to Look For in a Health Plan Administrator
  • Key Takeaways and Things to Think About
  • Step 1. Learn How to Be Liberated from the Status Quo
  • Step 2. Optimize Health Plan Infrastructure
  • Step 3. Carve out PBM
  • Step 4. Add Value Based Primary Care
  • Step 5. Leave Behind ValueExtracting PPO networks
  • Key Takeaways and Things to Think About
  • Understanding COHPs
  • The Impact of COHPs
  • Securing “Parent-Approval”
  • Low-Value vs. High-Value Components
  • Workplace Wellness Programs
  • Centers of Excellence
  • Conclusion
  • Key Takeaways and Things to Think About
  • Step 1: Help Employers Treat Employees Like Their Most Valuable Asset
  • Step 2: Create a Sense of Urgency – Why Change Now?
    • Request Suspension of Disbelief
    • Outline Dysfunction
    • Make it Meaningful
  • Step 3: Develop a Vision of Better Benefits
    • The “Nuts and Bolts” Vision
    • The 11-Star Vision
    • The Community-Owned Health Plan Vision
  • Step 4: Secure Grassroots Support
    • Start Quietly to Build Success
    • Build from the “Bottom.”
    • Educate Change Agents
  • Step 5: Sustain Change and Encourage Progress
    • Using Short-Term Wins
  • Step 6: Be on the Lookout for Barriers to Change
    • Structural Barriers
    • Psychological Barriers
    • Cultural Barriers
  • Step 7: Break Down Change Barriers
    • Talking to Both Supporters and Resisters
    • Thoroughly Engaging Everyone
    • Implementing Change in Several Stages
    • Keep Communicating Change
  • Step 8: Communicate More Than You Think You Need To
  • Step 9: Consolidate Improvements and Build on Gains
  • Step 10: Anchor Change into Culture
  • Key Takeaways and Things to Think About
  • Additional Background and Resources
  • Appendix A: Status Quo Versus Health Rosetta Comparison
  • Appendix B: A Practical Handbook for Systems Change
  • Appendix C: How to Pick a Benefits Consultant
  • Appendix D: Client Notice, Plan Sponsor Bill of Rights, and Code of Conduct
  • Appendix E: Sample Compensation Disclosure Form Appendix F: Health Rosetta Principles
  • Appendix G: Why Doctors are Running Out of Empathy
  • Appendix H: Decoding a Fully-Insured Renewal
  • Copper State Bolt & Nut Company
  • Gasparilla Inn & Club
  • Great Lakes Auto Network
  • Keystone Technologies
  • Pacific Steel & Recycling
  • City of Milwaukee
  • Enovation Controls
  • Langdale Industries
  • Pittsburgh (Allegheny County) Schools
  • Rosen Hotels & Resorts

What people are saying

Praise for the CEO's Guide to Restoring the American Dream. & The Opioid Crisis Wake-Up Call

Relocalizing Health The Future of Health Care is Local, Open and Independent.

In Relocalizing Health, Chase's deep passion and moral conviction is combined with his broad business experience in health care and technology. It's rare to have created and broadly disseminated a blueprint for the business structure of health care that is appreciated equally across the political spectrum. Relocalizing Health highlights proven solutions to the many problems I outlined in The Price We Pay. Chase is no starry-eyed dreamer. His practical roadmap brings hope where many have understandably felt defeated by a health care system systematically crushing the American Dream.

Marty Makary M.D. Johns Hopkins professor and N.Y.Times Bestselling author of The Price We Pay

While others traffic in theory and big talk, Relocalizing Health reflects Chase's decade-long dive into what is actually working in health care in virtually every corner of the country. As we've demonstrated at the Surgery Center of Oklahoma, great health care doesn't have to be expensive. In fact, when you remove unnecessary middlemen and administrative bloat, it's downright affordable. By providing a roadmap based on a deep track record, all it takes is will to rebuild a system we can all be proud of. By now, we should realize the cavalry isn't coming from DC to fix health care. It's on you and me. Let's get going!

Keith Smith
Keith Smith, MD CEO Surgery Center of Oklahoma

Dave Chase has written another book that should send shock waves into the foundations of America’s low functioning, financially devastating, high invasion, opaque health care universe. This book is the pinnacle of his work, delving deeply into the root causes of American health care dysfunction and presenting a detailed action plan that will deliver the changes we all want to see. Take a guided tour into a world of empowered consumers, vastly reduced bureaucracy, seriously lower healthcare costs, happier doctors and thriving patients.

Garrison Bliss
Garrison Bliss, MD Inventor of Direct Primary Care

CEO's Guide to Restoring
The American Dream

The 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.

One of the top ten healthcare books of all time, and #1 for delivering practical advice.

Photo by Bryce Vickmark for Workforce Magazine 9/23/13 - Al Lewis of Disease Management Purchasing Consortium International, Inc at his home office in Newton, MA.
Al Lewis Father of disease management & CEO at Quizzify

Dave, you nailed it! Your message is vital for business leaders as it exposes the many dirty secrets behind the business of Employee Benefit plans. Yes, it is time to shed dependence on those who have benefited most from lousy results and demand vastly improved outcomes for employers and their employees. This is a must read to turn the tables on the benefits industry.

Eric Krieg Photo
Eric Krieg Founder & President Risk International Benefits Advisory

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