Studies show that patientsenrolled in direct primary care practices have 59 percent fewer ERvisits, spend 30 percent fewer days admitted to the hospital andare referred to specialists 62 percent less often.

As Dave Chase writes in “The CEO's Guide toRestoring the American Dream,” ”Step one [in fixing the health caresystem] is to accept that you run a health care business. It'slikely your second largest operating expense after payroll. Justask your CFO. You'd probably prefer not to run this business, butit's there, whether you like it or not.”

Yet even if they acknowledge this truth, most CEOs, CFOs andCOOs are too consumed with running their businesses to take steptwo; that is, to spend the time and emotional energy required tolearn about the specific ways in which health care in America is broken. As a result,their health care strategy remains the same year after year. Theycontinue to accept the increase (typically around 9percent) in insurance premiums that their benefits brokernegotiates for them and continue to transfer health care costs totheir employees by raising deductibles.

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