The Opioid Crisis Wake-Up Call

Health Care is Stealing the American Dream. Here’s How We Take it Back.

A Citizen Leader’s Guide to Restoring the American Dream: Rebuilding Hope, Health, & Well-being in Our Communities


The opioid crisis is not an anomaly.

Rather, the largest public health crisis in 100 years is a self-inflicted wound driven by a catastrophically dysfunctional health care system. Fortunately, upstream antidotes have been created and proven by forward-looking citizen leaders and employers.

It’s time to apply these solutions everywhere in the country to stop the crisis in its tracks —which will go a long way toward solving the larger disaster that is our health care system.

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What the The Opioid Crisis Wake-Up Call provides.

This book uncovers the upstream, systemic fixes designed to stop the crisis at its source. As you read this, countless people are leaving clinics and hospitals with over 30-day supplies of opioids for lower back pain, asymptomatic wisdom teeth removal, and other inappropriate uses with little evidence.
  • Preface
  • Introduction
  • A Note on Reading This Book
  • Chapter 1: The Opioid Crisis Isn’t an Anomaly
  • Chapter 2: So How Did We Get Here
  • Chapter 3: America Has Gone to War for Far Less
  • Case Study: Pittsburgh (Allegheny County) Schools
  • Chapter 4: Health Care Costs are Flat Despite What You Have Heard
  • Chapter 5: What You Don’t Know About the Pressures and Constraints Facing Insurance Executives Costs You Dearly
  • Chapter 6: Health Care is Stealing Millennials’ Future – But They Will Take it Back
  • Case Study: Rosen Hotels & Resorts
  • Chapter 7: 7 Tricks Used to Redistribute Money From Your Organization to the Health Care Industry
  • Chapter 8: PPO Networks Deliver Value—and Other Flawed Assumptions That Crush Your Budget
  • Case Study: City of Milwaukee
  • Chapter 9: Criminal Fraud Is Much Bigger Than You Think
  • Chapter 10: Are Workplace Wellness Programs Hazardous to Your Health?
  • Chapter 11: You Run a Health Care Business Whether You Like It or Not.
  • Chapter 12: How to Pick a Benefits Consultant
  • Case Study: Langdale Industries
  • Chapter 13: The 7 Habits of Highly Effective Benefits Professionals
  • Chapter 14: Centers of Excellence Offer a Golden Opportunity
  • Chapter 15: Independent Claims Administrators vs. Insurance Company Claims Administrators –The Trade-Offs
  • Chapter 16: The Future of Health Will Be Local, Open, and Independent
  • Chapter 17: Health 3.0 Vision and Implications for Providers & Government
  • Chapter 18: Economic Development 3.0: Communities Take Center Stage
  • Chapter 19: Mayors Must Lead Cities Out of the Opioid Crisis
  • Case Study: Rural county goes from highest to lowest rate of opioid deaths
    in two years
  • Chapter 20: Making Sure Opioid Mitigation Plans Mitigate the Right Things
  • Chapter 21: Value-based Primary Care
  • Chapter 22: Transparent Medical Market
  • Case Study: Enovation Controls
  • Chapter 23: Concierge-Style Employee Customer Service
  • Chapter 24: High-Value, Transparent TPA
  • Chapter 25: Transparent Pharmacy Benefits
  • Chapter 26: “ERISA Fiduciary Risk is the Largest Undisclosed Risk I’ve Seen in My Career”
  • Appendix A: Evidence-Based Services for People with Opiod Use Disorder
  • Appendix B: Status Quo Benefits vs. Health Rosetta Type Benefits
  • Appendix C: A Practical Handbook for Systems Change - August 2017
  • 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: Amazon, Berkshire Hathaway and JP Morgan Chase Can Lead Employer Solution to Opioid Crisis on the Journey to Larger Health Care Reinvention
  • Appendix I: Decoding a fully insured renewal
  • Appendix J: Benefits Options for Small Businesses and Sole Proprietors

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Just a few of the people who have helped provide content

Tom Emerick

Ran benefits at Walmart, BP, & Burger King. Authored Cracking Health Costs, Co-Founder of Edison

Sean Schantzen

Co-Founder and President of Health Rosetta

Ron Peck

Sr. VP & General Counsel, The Phia Group LLC

Julia Hutchins

Chief Operations Officer and Co-founder at Apostrophe.

Jeanne Pinder

Founder and CEO of ClearHealthCosts

David  Contorno

Founder of E Powered Benefits

Chris Brookfield

CIO, Salish Growth

Adam Russo

Co-founder and CEO of The Phia Group, LLC

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Check out Dave's other book The CEO's Guide to Restoring the American Dream

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